Organization
MADKAN DERMATOLOGY, PC
Active
Other names
Mosaic Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY SCHEELE (OFFICE MANAGER)
(404) 931-0604
Entity
Organization
Contact information
Practice address
150 N ROBERTSON BLVD STE 304, BEVERLY HILLS, CA 90211-2145
(310) 453-3101
(310) 453-3104
Mailing address
150 N ROBERTSON BLVD STE 304, BEVERLY HILLS, CA 90211-2145
(310) 453-3101
(310) 453-3104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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