Upland Dermatology Center
NPI #1629002167 in Upland, California
Provider Information
- NPI Number
- 1629002167
- Entity Type
- Organization
- Organization Name
- Upland Dermatology Center
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1113 N ALTA #103
- City
- Upland
- State
- California
- ZIP Code
- 91786
- Phone
- (909) 932-0014
Authorized Official
- Name
- JOY FORTICH
- Title
- BILLING SUPERVISOR
- Phone
- (909) 860-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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