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Organization

CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY LITCHFIELD M.D. (PRESIDENT)
(949) 294-1697
Entity
Organization

Contact information

Practice address
28261 MARGUERITE PKWY, MISSION VIEJO, CA 92692-3703
(949) 294-1679
Mailing address
303 CALLE FRANCESCA, SAN CLEMENTE, CA 92672-4507
(949) 294-1697

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
72814
CA

Other

Enumeration date
04/03/2014
Last updated
12/02/2014
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