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California Coastal Dermatology A Medical Corporation
Medical Specialty Clinic/Center in Mission Viejo, California
NPI 1083032262

California Coastal Dermatology A Medical Corporation is a Medical Specialty Clinic/Center based in San Clemente, CA and is specialized in Medical Specialty. California Coastal Dermatology A Medical Corporation practices in Mission Viejo, CA. The NPI Number for California Coastal Dermatology A Medical Corporation is 1083032262 and holds a License No. 72814 (California).

The current practice location address for California Coastal Dermatology A Medical Corporation is 28261 Marguerite Pkwy, Mission Viejo, CA and can be reached out via phone at 949-294-1679.

Location: 28261 Marguerite Pkwy, Mission Viejo, CA, 92672-4507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083032262
Provider Name
California Coastal Dermatology A Medical Corporation
Credential
Provider Entity Type
Organization
Address
28261 Marguerite Pkwy, Mission Viejo, CA, 92672-4507
Phone Number
949-294-1679
Fax Number
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28261 Marguerite Pkwy
City
Mission Viejo
State
California
Zip
92692-3703
Phone Number
949-294-1679
Fax Number
person
Provider Business Mailing Address Details
Address
28261 Marguerite Pkwy
City
Mission Viejo
State
California
Zip
92692-3703
Phone Number
949-294-1679
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
72814 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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