Delmar Dermatology Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DELMAR DERMATOLOGY CENTER

Practice address

12395 El Camino Real Suite #115
San Diego, CA 92130

Phone

(858) 259-9858

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Glenn N Ledesma, MD

Title

Owner

Phone

(909) 860-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669575551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15807",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902091807",
            "telephone_number": "909-860-7600",
            "fax_number": "909-860-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 EL CAMINO REAL SUITE #115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "858-259-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-860-7600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Scott Dellefield, PH.D
• Mary Ellen Dellefield, PHD, RN
• Pascale Turquieh Dellefield, MFT
• Danielle Devon Dellosa
• Joseph Delly, MD
• Delmar Medical Imaging Inc
• Mia Delmonico
• Ronnie James Delmonte, PHARMD
• Beatriz Delmoral
• Haley Ann Deloach, DDS

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.