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Delta Dermatology Medical Group
Specialist in Inglewood, California
NPI 1346307105

Delta Dermatology Medical Group is a Specialist based in Inglewood, CA. Delta Dermatology Medical Group practices in Inglewood, CA. The NPI Number for Delta Dermatology Medical Group is 1346307105 and holds a License No. G49164 (California).

The current practice location address for Delta Dermatology Medical Group is 310 N Prairie Ave, Inglewood, CA and can be reached out via phone at 310-673-3582 and via fax at 310-677-5466.

Location: 310 N Prairie Ave, Inglewood, CA, 90301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346307105
Provider Name
Delta Dermatology Medical Group
Credential
Provider Entity Type
Organization
Address
310 N Prairie Ave, Inglewood, CA, 90301
Phone Number
310-673-3582
Fax Number
310-677-5466
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G491641 05 CA
institution
Provider Business Practice Location Address Details
Address
310 N Prairie Ave
City
Inglewood
State
California
Zip
90301
Phone Number
310-673-3582
Fax Number
310-677-5466
person
Provider Business Mailing Address Details
Address
310 N Prairie Ave
City
Inglewood
State
California
Zip
90301
Phone Number
310-673-3582
Fax Number
310-677-5466
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G49164 (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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