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Green Dermatologic Medical Group A Medical Corporation
Specialist in San Clemente, California
NPI 1154533685

Green Dermatologic Medical Group A Medical Corporation is a Specialist based in San Clemente, CA. Green Dermatologic Medical Group A Medical Corporation practices in San Clemente, CA. The NPI Number for Green Dermatologic Medical Group A Medical Corporation is 1154533685 and holds a License No. C36384 (California).

The current practice location address for Green Dermatologic Medical Group A Medical Corporation is 657 Camino De Los Mares Ste 242, San Clemente, CA and can be reached out via phone at 949-496-6066 and via fax at 949-496-6497.

Location: 657 Camino De Los Mares Ste 242, San Clemente, CA, 92673-2811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154533685
Provider Name
Green Dermatologic Medical Group A Medical Corporation
Credential
Provider Entity Type
Organization
Address
657 Camino De Los Mares Ste 242, San Clemente, CA, 92673-2811
Phone Number
949-496-6066
Fax Number
949-496-6497
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
657 Camino De Los Mares Ste 242
City
San Clemente
State
California
Zip
92673-2811
Phone Number
949-496-6066
Fax Number
949-496-6497
person
Provider Business Mailing Address Details
Address
657 Camino De Los Mares Ste 242
City
San Clemente
State
California
Zip
92673-2811
Phone Number
949-496-6066
Fax Number
949-496-6497
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C36384 (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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