Organization
DERMATOLOGY SPA MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL CABEZZAS (CEO)
(661) 327-4499
Entity
Organization
Contact information
Practice address
300 JAMES WAY STE 140, PISMO BEACH, CA 93449-2874
(805) 574-1000
(805) 574-1300
Mailing address
6000 PHYSICIANS BLVD STE 210, BAKERSFIELD, CA 93301-1215
(661) 327-4499
(661) 215-6387
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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