Organization
PACIFICA DERMATOLOGY
Active
Other names
Pacifica Center for Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FIFER (D)
(805) 484-2855
Entity
Organization
Contact information
Practice address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 430-0002
Mailing address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 430-0002
(805) 389-1245
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
12/09/2019
Last updated
03/13/2024
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