Beverly Dermatology And Laser Center

NPI 1336205533 - Dermatology - 207N00000X

NPI Details
NPI 1336205533
Enumeration Date 12/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROLAND ROLAND
Position OWNER
Phone (909) 335-8638
Fax
Practice Location
24541 PACIFIC PARK DR
SUITE 103
ALISO VIEJO CA, 92656-3065, US
Phone (909) 335-8638
Fax
Business Location
PO BOX 51197
DEPT 201
LOS ANGELES CA, 90051-5497, US
Phone
Fax
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
Remove 1336205533 NPI Number
 

According to our database, Beverly Dermatology And Laser Center NPI is 1336205533, taxonomy code is 207N00000X Beverly Dermatology And Laser Center physically located at 24541 Pacific Park Dr, Aliso Viejo CA, 92656-3065. NPI Number 1033115704 has the healthcare provider type.

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1336205533 NPI number is provided on an as is basis without warranty of any kind. 1336205533 is maintained by the National Plan & Provider Enumeration System. The contents of Beverly Dermatology And Laser Center are for informational purposes only.