Organization
RIDGECREST DERMATOLOGY AND SKIN CANCER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (PRESIDENT)
(760) 446-9007
Entity
Organization
Contact information
Practice address
1535 N CHINA LAKE BLVD, RIDGECREST, CA 93555-2667
(760) 446-9007
(760) 446-6900
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(760) 446-9007
(760) 446-6900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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