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Glendora Dermatologic And Cosmetic Surgery Center
Ambulatory Surgical Clinic/Center in Glendora, California
NPI 1043323801

Glendora Dermatologic And Cosmetic Surgery Center is an Ambulatory Surgical Clinic/Center based in Glendora, CA and is specialized in Ambulatory Surgical. Glendora Dermatologic And Cosmetic Surgery Center practices in Glendora, CA. The NPI Number for Glendora Dermatologic And Cosmetic Surgery Center is 1043323801 and holds a License No. (California).

The current practice location address for Glendora Dermatologic And Cosmetic Surgery Center is 412 W. Carroll Ave, Glendora, CA and can be reached out via phone at 626-335-1606 and via fax at 626-963-0575.

Location: 412 W. Carroll Ave, Glendora, CA, 91741-4240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043323801
Provider Name
Glendora Dermatologic And Cosmetic Surgery Center
Credential
Provider Entity Type
Organization
Address
412 W. Carroll Ave, Glendora, CA, 91741-4240
Phone Number
626-335-1606
Fax Number
626-963-0575
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S551093 01 CA PTAN (MEDICARE LEGACY #)
institution
Provider Business Practice Location Address Details
Address
412 W. Carroll Ave
City
Glendora
State
California
Zip
91741-4280
Phone Number
626-335-1606
Fax Number
626-963-0575
person
Provider Business Mailing Address Details
Address
412 W. Carroll Ave
City
Glendora
State
California
Zip
91741-4280
Phone Number
626-335-1606
Fax Number
626-963-0575
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
()
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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