Organization
ESCONDIDO DERMATOLOGY, INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY P CHEN M.D. (M.D.)
(760) 747-1980
Entity
Organization
Contact information
Practice address
504 W MISSION AVE, STE 101, ESCONDIDO, CA 92025-1602
(760) 747-1980
(760) 747-2045
Mailing address
504 W MISSION AVE, STE 101, ESCONDIDO, CA 92025-1602
(760) 747-1980
(760) 747-2045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A070199
CA
Other
Enumeration date
05/24/2005
Last updated
01/21/2015
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