Telegraph Dermatology Medical Group INC
NPI #1245369941 in Pico Rivera, California
Provider Information
- NPI Number
- 1245369941
- Entity Type
- Organization
- Organization Name
- Telegraph Dermatology Medical Group INC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- 8337 TELEGRAPH RD
- Address 2
- SUITE 210
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-4909
- Phone
- (563) 806-1321
Authorized Official
- Name
- DR. FERNANDO BASCO CANON, M.D.
- Title
- PRESIDENT
- Phone
- (562) 806-1321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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