Covina Dermatology Center
NPI #1003840521 in Covina, California
Provider Information
- NPI Number
- 1003840521
- Entity Type
- Organization
- Organization Name
- Covina Dermatology Center
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Feb 4, 2009
Practice Location
- Address
- 315 N 3RD AVENUE
- Address 2
- STE 304
- City
- Covina
- State
- California
- ZIP Code
- 91723-1916
- Phone
- (626) 332-7522
Authorized Official
- Name
- JOY FORTICH
- Title
- BILLING SUPERVISOR
- Phone
- (909) 860-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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