Organization
DERM-AID, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DOMINGUEZ MD (PRESIDENT)
(714) 876-5476
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD STE 325, HUNTINGTON BEACH, CA 92647-7512
(714) 876-5476
(323) 433-9177
Mailing address
14831 SHELBURNE CT, EASTVALE, CA 92880-9503
(714) 876-5476
(323) 433-9177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
06/12/2020
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