Accredited Dermatology Medical Clinic INC

NPI #1871697136 in Fullerton, California

Provider Information

NPI Number: 1871697136
Entity Type: Organization
Organization Name: Accredited Dermatology Medical Clinic INC
Primary Specialty: Dermatology
Enumeration Date: Sep 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 301 W BASTANCHURY ROAD
Address 2: SUITE 245
City: Fullerton
State: California
ZIP Code: 92835
Phone: (714) 525-3500

Authorized Official

Name: PATRICK ROBERT DAHL, MD
Title: PHYSICIAN
Phone: (714) 525-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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