Sacramento Dermatology Med Group Inc

Organization Dermatology Physician · NPI 1245308378

Sacramento Dermatology Med Group Inc provides Dermatology Physician services in Fair Oaks, California. Licensed in California. Registered with an NPI since 2006.

Licensed in: CA
In the registry since: 2006
Specialties on file: 2

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

5525 Dewey Dr #102
Fair Oaks, CA 95628-3129 Not confirmed with CMS for 18 years — call before visiting
Phone: (916) 966-9014
Fax: (916) 966-9015

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

Specialties & licences

Dermatology Physician (primary)	Taxonomy 207N00000X · Licence A24330 (CA)
Dermatology Physician	Taxonomy 207N00000X · Licence G22335 (CA)

Record details

NPI number	1245308378
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dennis Daughters — President · (916) 966-9014
NPI enumerated	November 30, 2006
Last updated in NPPES	August 8, 2008
Mailing address	5525 Dewey Dr, 102, Fair Oaks, CA 95628-3129