Dermatology Specialists Ins

NPI #1457541260 in Fallbrook, California

Provider Information

NPI Number: 1457541260
Entity Type: Organization
Organization Name: Dermatology Specialists Ins
Primary Specialty: Dermatology
Enumeration Date: Jul 27, 2007
Last Updated: Nov 26, 2008

Practice Location

Address: 1309 S MISSION RD # A
City: Fallbrook
State: California
ZIP Code: 92028-4007
Phone: (760) 728-7546

Authorized Official

Name: JANE LISK
Title: ADMINISTRATOR
Phone: (760) 757-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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