Organization
DERMKING INSTITUTE
Active
Organization
DERMKING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON MCCARROLL (PRESIDENT/CEO)
(310) 927-8097
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 805, LOS ANGELES, CA 90048-5801
(323) 938-0511
Mailing address
6200 WILSHIRE BLVD, SUITE 805, LOS ANGELES, CA 90048-5801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51510
CA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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