Pacific Coast Dermatology, Inc.

NPI #1750574075 in Chino, California

Provider Information

NPI Number: 1750574075
Entity Type: Organization
Organization Name: Pacific Coast Dermatology, Inc.
Primary Specialty: Dermatology
Enumeration Date: Aug 20, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 13768 ROSWELL AVE
Address 2: SUITE 102
City: Chino
State: California
ZIP Code: 91710-1401
Phone: (909) 364-1959

Authorized Official

Name: DR. TUAN ANTHONY HOANG-XUAN, D.O
Title: CEO
Phone: (909) 364-1959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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