South Coast Dermatology Institute, a Medical Corporation
South Coast Dermatology Institute, a Medical Corporation provides Dermatology Physician services in Tustin, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2552 Walnut Ave Ste 120Tustin, CA 92780-6935 Not confirmed with CMS for 15 years — call before visiting
Phone: (714) 508-0754
Fax: (714) 508-5754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1033241138 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vince Afsahi — President · (714) 508-0754 |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | January 5, 2011 |
| Mailing address | 2552 Walnut Ave, Suite 120, Tustin, CA 92780-6935 |
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