Organization
INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.
Active
Organization
INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY KEEYEUL SUNG M.D. (PRESIDENT)
(949) 722-3555
Entity
Organization
Contact information
Practice address
1525 SUPERIOR AVE, SUITE 210, NEWPORT BEACH, CA 92663-3639
(949) 722-3555
(949) 722-3512
Mailing address
11902 CANDOR ST, CERRITOS, CA 90703-6907
(562) 714-5849
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A86806
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A86806
CA
207ND0900X
Dermatopathology Physician
A86806
CA
207NS0135X
Procedural Dermatology Physician
Primary
A86806
CA
Other
Enumeration date
04/25/2007
Last updated
09/11/2025
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