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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