Organization
DERMATOLOGY SPECIALISTS INC
Active
Organization
DERMATOLOGY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSI HEINICHEN (ADMIN ASSIST)
(760) 757-7546
Entity
Organization
Contact information
Practice address
4765 CARMEL MOUNTAIN RD STE 201, SAN DIEGO, CA 92130-6657
(760) 757-7546
(760) 828-9138
Mailing address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 757-7546
(760) 828-9138
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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