Iha Wound and Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

IHA WOUND AND DERMATOLOGY PC

Practice address

7801 Mission Center CT Ste 250
San Diego, CA 92108-1314

Phone

(619) 738-5566

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Pouya Afshar, MD

Title

Cmo

Phone

(619) 738-5566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1962906628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081314",
            "telephone_number": "619-738-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081314",
            "telephone_number": "619-738-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHA WOUND AND DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "AFSHAR",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "619-738-5566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in San Diego, CA
• Providers in San Diego, 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 19, 2018; 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.