# COMPREHENSIVE DERMATOLOGY CENTER OF PASADENA, A MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMPREHENSIVE DERMATOLOGY CENTER OF PASADENA, A MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740485010
- **Legal business name:** COMPREHENSIVE DERMATOLOGY CENTER OF PASADENA, A MEDICAL GROUP
- **Authorized official:** DR. HAN N. LEE M.D. (DIRECTOR)
- **Authorized official phone:** (626) 793-7790

## Contact information

- **Practice address:** 625 S FAIR OAKS AVE, SUITE 200, PASADENA, CA 91105-2613
- **Practice address phone:** (626) 793-7790
- **Practice address fax:** (626) 793-9018
- **Mailing address:** 625 S FAIR OAKS AVE, SUITE 200, PASADENA, CA 91105-2613
- **Mailing address phone:** (626) 793-7790
- **Mailing address fax:** (626) 793-9018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A80177 | CA | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 07/06/2011