Organization
MARINA DERMATOLOGY ASSOCIATES
Active
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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