Organization
DEL AMO DERMATOLOGY A MEDICAL CORP
Active
Organization
DEL AMO DERMATOLOGY A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN EARLY (OFFICE MANAGER)
(310) 543-2662
Entity
Organization
Contact information
Practice address
21320 HAWTHORNE BLVD, SUITE 127, TORRANCE, CA 90503-5606
(310) 543-2662
Mailing address
21320 HAWTHORNE BLVD, SUITE 127, TORRANCE, CA 90503-5606
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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