El Segundo Dermatology, Inc.

NPI #1619351707 in El Segundo, California

Provider Information

NPI Number: 1619351707
Entity Type: Organization
Organization Name: El Segundo Dermatology, Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2015
Last Updated: Aug 11, 2022

Practice Location

Address: 713 N DOUGLAS ST.
City: El Segundo
State: California
ZIP Code: 90245
Phone: (310) 906-2788

Authorized Official

Name: BRENDA FELLMAN
Title: PRACTICE MANAGER
Phone: (310) 906-2788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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