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Dermatology And Laser Group Of Irvine, A Medical Corporation
Specialist in Irvine, California
NPI 1154493369

Dermatology And Laser Group Of Irvine, A Medical Corporation is a Specialist based in Irvine, CA. Dermatology And Laser Group Of Irvine, A Medical Corporation practices in Irvine, CA. The NPI Number for Dermatology And Laser Group Of Irvine, A Medical Corporation is 1154493369 and holds a License No. G34628 (California).

The current practice location address for Dermatology And Laser Group Of Irvine, A Medical Corporation is 16300 Sand Canyon Ave, Irvine, CA and can be reached out via phone at 949-753-1001 and via fax at 949-753-1115.

Location: 16300 Sand Canyon Ave, Irvine, CA, 92618-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154493369
Provider Name
Dermatology And Laser Group Of Irvine, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
16300 Sand Canyon Ave, Irvine, CA, 92618-3711
Phone Number
949-753-1001
Fax Number
949-753-1115
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BS373 01 CA MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
16300 Sand Canyon Ave
City
Irvine
State
California
Zip
92618-3711
Phone Number
949-753-1001
Fax Number
949-753-1115
person
Provider Business Mailing Address Details
Address
16300 Sand Canyon Ave
City
Irvine
State
California
Zip
92618-3711
Phone Number
949-753-1001
Fax Number
949-753-1115
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G34628 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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