Advanced Dermatology Inc.

NPI #1336220540 in Dana Point, California

Provider Information

NPI Number: 1336220540
Entity Type: Organization
Organization Name: Advanced Dermatology Inc.
Primary Specialty: Dermatology
Enumeration Date: Oct 17, 2006
Last Updated: Jun 27, 2019

Practice Location

Address: 34213 PACIFIC COAST HWY
City: Dana Point
State: California
ZIP Code: 92629
Phone: (949) 248-4547

Authorized Official

Name: DR. MARYAM MOINFAR, MD
Title: PRESIDENT
Phone: (952) 240-2827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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