Organization
DERMATOLOGICARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA BABAPOUR MD (MD OWNER)
(310) 247-0337
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR, SUITE 1001, BEVERLY HILLS, CA 90210-4532
(310) 247-0337
(310) 247-0343
Mailing address
414 N CAMDEN DR, SUITE 1001, BEVERLY HILLS, CA 90210-4532
(310) 247-0337
(310) 247-0343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G77137
CA
207NS0135X
Procedural Dermatology Physician
G77137
CA
Other
Enumeration date
09/11/2006
Last updated
03/10/2016
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