Diamond Bar Dermatology and Laser Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A92405 Issued in CA

Legal business name

DIAMOND BAR DERMATOLOGY AND LASER CENTER

Practice address

1111 Grand Ave
Suite K
Diamond Bar, CA 91765-4171

Phone

(909) 860-4254

Fax

(909) 860-2674

NPI assigned

Oct 19, 2015

Last updated

Jun 29, 2020By 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

Ronald O Rigor, M.DNPI 1700835675

Title

Owner/Provider

Phone

(626) 844-3884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ronald O Rigor, M.D.,

  • Dermatology Physician
  • Pasadena, CA
  • NPI 1700835675
  Authorized official Same address or phone

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1598136384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S ARROYO PKWY",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053263",
            "telephone_number": "626-844-3884",
            "fax_number": "626-844-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE K",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-860-4254",
            "fax_number": "909-860-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BAR DERMATOLOGY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "RIGOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "626-844-3884",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A92405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diamond Bar Cardiovascular Medical Group Inc
• Diamond Bar Dental Group
• Diamond Bar Dermatology Center
• Diamond Bar Ear Nose & Throat Specialty Medical Group, Inc.
• Diamond Bar Medical Group
• Diamond Bar Occupational Therapy (Sensory Bridge Pediatric Therapy)
• Diamond Bar Optometric Center Inc (Diamond Bar Optometric Center)

• Dermatology Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.