Dermatology Specialists Inc
Organization Active NPI Dermatology Physician · San Diego, CA
NPI 1497399141 · NPPES record last updated Nov 5, 2019
Key facts
- NPI
- 1497399141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- DERMATOLOGY SPECIALISTS INC
- Practice address
- 4765 Carmel Mountain Rd Ste 201
San Diego, CA 92130-6657 - Phone
- (760) 757-7546
- Fax
- (760) 828-9138
- NPI assigned
- Nov 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Missi Heinichen
- Title
- Admin Assist
- Phone
- (760) 757-7546
Corporate family (same tax ID) 6
Practitioners 1
National Provider Directory
- Tax ID family
- Dermatology Specialists Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
4765 Carmel Mountain Rd Ste 201
San Diego, CA 92130-6657
Mailing address
3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-7546
Other providers in San Diego, CA
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- Derma Hair Group
- Dermatology Professionals Incorporated
- Dermatology Surgical and Medical, Apc
- Barbara Dernbach
- Harry F Derochemont
- Nicole Breann Deroco
- Savannah Deroma
All providers in San Diego, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.