Glendora Dermatologic and Cosmetic Surgery Center
NPI #1043323801 in Glendora, California
Provider Information
- NPI Number
- 1043323801
- Entity Type
- Organization
- Organization Name
- Glendora Dermatologic and Cosmetic Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 412 W. CARROLL AVE
- Address 2
- SUITE 208
- City
- Glendora
- State
- California
- ZIP Code
- 91741-4280
- Phone
- (626) 335-1606
Authorized Official
- Name
- DR. DANIEL E GORMLEY, MD
- Title
- OWNER /PRESIDENT
- Phone
- (626) 335-1606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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