Dermatology Spa Med INC

NPI #1356094676 in Pismo Beach, California

Provider Information

NPI Number: 1356094676
Entity Type: Organization
Organization Name: Dermatology Spa Med INC
Primary Specialty: Dermatology
Enumeration Date: Jan 27, 2022
Last Updated: Jan 27, 2022

Practice Location

Address: 300 JAMES WAY STE 140
City: Pismo Beach
State: California
ZIP Code: 93449-2874
Phone: (805) 574-1000

Authorized Official

Name: NOEL CABEZZAS
Title: CEO
Phone: (661) 327-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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