Organization
INNOVATIVE DERMATOLOGY ALLIANCE CA
Active
Organization
INNOVATIVE DERMATOLOGY ALLIANCE CA
Active
Other names
Peak Dermatology Aesthetics and Wellness, Peak Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER UGOCHUKWU UGORJI REX (OWNER/PROVIDER)
(904) 994-4533
Entity
Organization
Contact information
Practice address
5530 AVENIDA DE LOS ROBLES, VISALIA, CA 93291
(559) 733-5050
Mailing address
13921 W GRAND AVE BLDG E, SURPRISE, AZ 85374-2439
(559) 733-5050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
01/21/2019
Last updated
05/14/2026
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