Advanced Skin Clinic & Surgery, PC

NPI #1194028423 in Upland, California

Provider Information

NPI Number: 1194028423
Entity Type: Organization
Organization Name: Advanced Skin Clinic & Surgery, PC
Primary Specialty: Dermatology
Enumeration Date: Dec 8, 2010
Last Updated: Aug 8, 2011

Practice Location

Address: 1310 SAN BERNARDINO RD
Address 2: SUITE 207
City: Upland
State: California
ZIP Code: 91786-4979
Phone: (909) 946-8600

Authorized Official

Name: TAN NGUYEN, MD
Title: OWNER
Phone: (909) 946-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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