Organization
F AWADALLA MD PC
Active
Other names
Skincredible Dermatology & Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN VALDES (COO)
(949) 545-6605
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691-6408
(949) 545-6605
(949) 326-7509
Mailing address
27800 MEDICAL CENTER RD STE 220, MISSION VIEJO, CA 92691-6408
(949) 545-6605
(949) 326-7509
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A125067
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
09/25/2019
Last updated
08/13/2025
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