Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Dermatology Inc

Organization Dermatology Physician · NPI 1972990653

Magnolia Dermatology Inc provides Dermatology Physician services in Corona, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

770 Magnolia Ave Ste 2G
Corona, CA 92879-3120 Not confirmed with CMS for 11 years — call before visiting
Phone: (951) 734-6500
Fax: (951) 734-6555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A76333 (CA)

Record details

NPI number1972990653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Babak Roshdieh — Owner · (951) 734-6500
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 21, 2015
Mailing address770 Magnolia Ave, Suite 2g, Corona, CA 92879-3120

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