Organization
DERMATOLOGY & LASER CENTER OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARA ROSALES (INSURANCE SPECIALIST)
(619) 476-1200
Entity
Organization
Contact information
Practice address
344 F ST STE 200, CHULA VISTA, CA 91910-2646
(619) 476-1200
(619) 420-7849
Mailing address
344 F ST STE 200, CHULA VISTA, CA 91910-2646
(619) 476-1200
(619) 420-7849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A69750
CA
174400000X
Specialist
A78399
CA
174400000X
Specialist
A94658
CA
174400000X
Specialist
C36597
CA
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
10/31/2024
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