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CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION NPI 1083032262


NPI Information

NPI: 1083032262
Provider Name: CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
28261 MARGUERITE PKWY
MISSION VIEJO, CA
ZIP 92692
Phone: (949) 294-1679
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CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION is a medical specialty clinic center in Mission Viejo, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION NPI is 1083032262. The provider is registered as an organization entity type.

The provider's business location address is:

28261 MARGUERITE PKWY
MISSION VIEJO, CA
ZIP 92692-703
Phone: (949) 294-1679

The provider's authorized official is Amy Litchfield .
The authorized official title is President and has the following contact phone number (949) 294-1697.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 12/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty72814CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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