Advanced Skin Clinic & Surgery, Pc

NPI 1194028423 - Dermatology - 207N00000X

NPI Details
NPI 1194028423
Enumeration Date 12/08/2010
Last Updated 08/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TAN TAN
Position OWNER
Phone (909) 946-8600
Fax (909) 946-8604
Practice Location
1310 SAN BERNARDINO RD
SUITE 207
UPLAND CA, 91786-4979, US
Phone (909) 946-8600
Fax (909) 946-8604
Business Location
1310 SAN BERNARDINO RD
SUITE 207
UPLAND CA, 91786-4979, US
Phone (909) 946-8600
Fax (909) 946-8604
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
Remove 1194028423 NPI Number
 

According to our database, Advanced Skin Clinic & Surgery, Pc NPI is 1194028423, taxonomy code is 207N00000X Advanced Skin Clinic & Surgery, Pc physically located at 1310 San Bernardino Rd, Upland CA, 91786-4979. NPI Number 1033115704 has the healthcare provider type.

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1194028423 NPI number is provided on an as is basis without warranty of any kind. 1194028423 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Skin Clinic & Surgery, Pc are for informational purposes only.