Organization
SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP.
Active
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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