Organization
MARINA DERMATOLOGY ASSOCIATES
Active
Other names
Comprehensive Skin Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA PALOMARES (INSURANCE COORDINATOR)
(310) 827-2653
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, SUITE 552, MARINA DEL REY, CA 90292-6313
(310) 827-2653
(310) 823-1984
Mailing address
4644 LINCOLN BLVD, SUITE 552, MARINA DEL REY, CA 90292-6313
(310) 827-2653
(310) 823-1984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
15116
CA
207N00000X
Dermatology Physician
Primary
18086
CA
207N00000X
Dermatology Physician
G45892
CA
Other
Enumeration date
10/03/2013
Last updated
07/15/2015
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