# CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1083032262
- **Authorized official:** AMY LITCHFIELD M.D. (PRESIDENT)
- **Authorized official phone:** (949) 294-1697

## Contact information

- **Practice address:** 28261 MARGUERITE PKWY, MISSION VIEJO, CA 92692-3703
- **Practice address phone:** (949) 294-1679
- **Mailing address:** 303 CALLE FRANCESCA, SAN CLEMENTE, CA 92672-4507
- **Mailing address phone:** (949) 294-1697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 72814 | CA | Yes |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 12/02/2014