Organization
SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP.
Active
Other names
SPECTRUM DERMATOLOGY AND ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB S. LO M.D. (PRESIDENT)
(831) 372-6900
Entity
Organization
Contact information
Practice address
665 MUNRAS AVE, SUITE 200, MONTEREY, CA 93940-3134
(831) 372-6900
(831) 372-0266
Mailing address
665 MUNRAS AVE, SUITE 200, MONTEREY, CA 93940-3134
(831) 372-6900
(831) 372-0266
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A46142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831131069
NPI
CA
Enumeration date
07/12/2006
Last updated
05/22/2009
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