Organization
SOUTHERN CALIFORNIA DERMATOLOGY, INC
Active
Other names
SOUTHERN CALIFORNIA DERMATOLOGY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A BARON MD (OWNER)
(714) 547-5151
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, W-248, SANTA ANA, CA 92701-2201
(714) 547-5151
(714) 541-2016
Mailing address
1125 E 17TH ST, W-248, SANTA ANA, CA 92701-2201
(714) 547-5151
(714) 547-4027
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
12/07/2005
Last updated
01/29/2020
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