Organization
ADVANCED DERMATOLOGY CARE, INC.
Active
Parent organization
ADVANCED DERMATOLOGY CARE, INC.
Other names
DBA: California Dermatology Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DERMATOLOGY CARE, INC.
Authorized official
FLORA TING (OFFICE MANAGER)
(925) 328-0255
Entity
Organization
Contact information
Practice address
2262 CAMINO RAMON, SAN RAMON, CA 94583
(925) 328-0255
(925) 328-0257
Mailing address
2262 CAMINO RAMON, SAN RAMON, CA 94583
(925) 328-0255
(925) 328-0257
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A82266
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A82266
CA
Other
Enumeration date
04/09/2010
Last updated
06/04/2014
Update your record
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