# DERMATOLOGY SPECIALISTS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053778274
- **Authorized official:** JANE LISK (ADMINISTRATOR)
- **Authorized official phone:** (760) 757-7546

## Contact information

- **Practice address:** 31469 RANCHO PUEBLO RD \# 101, TEMECULA, CA 92592-4834
- **Practice address phone:** (951) 304-7546
- **Mailing address:** 3629 VISTA WAY, OCEANSIDE, CA 92056-4522
- **Mailing address phone:** (760) 828-9128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA14750 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 01/19/2016