RM Green Dermatology of Laguna Hills Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RM GREEN DERMATOLOGY OF LAGUNA HILLS INC

Practice address

24012 Calle de la Plata Ste 200
Laguna Hills, CA 92653-7624

Phone

(949) 452-3841

NPI assigned

May 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carla Swecker

Title

Office Manager

Phone

(949) 452-3841

Specialties & licenses 1

Addresses

Other names 1

• ROLLIN M. GREEN, MD Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: rmgreen@greenderm.emadirect.md

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1285208538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 520",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533633",
            "telephone_number": "949-452-3841",
            "fax_number": "949-859-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537624",
            "telephone_number": "949-452-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24411 Health Center Dr Ste 520",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533633",
            "country_code": "US",
            "telephone_number": "949-452-3841",
            "fax_number": "949-859-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RM GREEN DERMATOLOGY OF LAGUNA HILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "SWECKER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-452-3841"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RMGREEN@GREENDERM.EMADIRECT.MD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24411 Health Center Dr Ste 520",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926533633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ROLLIN M. GREEN, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dermatology Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.