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Organization
PATIENT PREFERRED DERMATOLOGY MEDICAL GROUP, INC.
Active
Organization
PATIENT PREFERRED DERMATOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA A KING MD (OWNER)
(562) 430-4294
Entity
Organization
Contact information
Practice address
3772 KATELLA AVE, SUITE 206, LOS ALAMITOS, CA 90720-3104
(562) 430-4294
(562) 493-3573
Mailing address
3772 KATELLA AVE, SUITE 206, LOS ALAMITOS, CA 90720-3104
(562) 430-4294
(562) 493-3573
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
86
CA
Other
Enumeration date
12/05/2006
Last updated
01/30/2009
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