Del Amo Dermatology a Medical Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DEL AMO DERMATOLOGY A MEDICAL CORP

Practice address

21320 Hawthorne Blvd
Suite 127
Torrance, CA 90503-5606

Phone

(310) 543-2662

NPI assigned

Dec 28, 2010

Last updated

Dec 28, 2010By 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

Mr. Justin Early

Title

Office Manager

Phone

(310) 543-2662

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack W Griffith III, DO

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1407884315
  NPD (past)
• David Horowitz

  • Dermatology Physician
  • Torrance, CA
  • NPI 1285675538
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1326342775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 127",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 127",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-543-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL AMO DERMATOLOGY A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-543-2662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Margaret Hagins Defrance, B.A.
• Thomas Deiss, DO
• Jessica Kay Dejaifre, MFT
• Bryn Dejardin, PHYSICAL THERAPIST
• Tanya Dejkunchorn, D.C.
• Del Amo Family Medical Group Inc
• Del Amo Gardens Convalescent Center, LLC (Del Amo Gardens Care Center)
• Del Amo Hospital, Inc (Del Amo Behavioral Health System)
• Del Amo Optometry a Professional Corporation
• Del Amo Pet Imaging Center LLC

• Dermatology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.