Organization
DERMATOLOGY INSTITUTE FOR SKIN CANCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOVER FERNANDEZ MD (PRESIDENT)
(661) 803-2428
Entity
Organization
Contact information
Practice address
2701 CHESTER AVENUE, SUITE 103, BAKERSFIELD, CA 93301
(661) 837-7084
(661) 837-7186
Mailing address
1301 SAN REMO DRIVE, PACIFIC PALISADES, CA 90272
(201) 852-5980
(661) 837-7186
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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