Organization
FOREFRONT DERMATOLOGY - PACIFIC, P.C.
Active
Organization
FOREFRONT DERMATOLOGY - PACIFIC, P.C.
Active
Other names
Forefront Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
267 W HILLCREST DR, THOUSAND OAKS, CA 91360-4211
(805) 497-1694
(805) 373-7493
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
09/05/2007
Last updated
11/21/2022
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