Tri City Dermatology a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TRI CITY DERMATOLOGY A MEDICAL CORPORATION

Practice address

15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766

Phone

(818) 894-5616

Fax

(818) 893-4872

NPI assigned

Mar 29, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Delgadillo

Title

Office Manager/Cfo

Phone

(818) 894-5616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1316687411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY DERMATOLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DELGADILLO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER/CFO",
        "authorized_official_telephone_number": "818-894-5616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Blanco Torres
• Nancy Carina Torres, LCSW
• Total Care Healthcare Services Inc
• Total Family Support Clinic
• Trauma & Critical Care SFV Group Inc
• Tri Valley Neurology Medical Associates Inc.
• Triumph Specialties LLC (Triumph Specialties)
• Hripsime Trtatyan, CSW
• Lawrence S Trudgeon, DDS
• Wun Kei Angela Tse, MS RD CDE

• Dermatology Physician in Mission Hills, CA
• Providers in Mission 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 29, 2022; 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.