Organization
THE DERMATOLOGY BAR, A MEDICAL CORPORATION
Active
Other names
The DermBar
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY KAUFMAN (CO-OWNER)
(909) 476-4077
Entity
Organization
Contact information
Practice address
3333 CONCOURS ST., BLDG 1, SUITE 1201, ONTARIO, CA 91764
(909) 476-4077
Mailing address
3333 CONCOURS ST., BLDG 1, SUITE 1201, ONTARIO, CA 91764
(909) 476-4077
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/21/2024
Last updated
10/22/2024
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