Organization
DERMESURGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM ABAZA MD (OWNER)
(818) 726-8722
Entity
Organization
Contact information
Practice address
1111 GRAND AVE STE K, DIAMOND BAR, CA 91765-4172
(909) 860-4254
Mailing address
1111 GRAND AVE STE K, DIAMOND BAR, CA 91765-4172
(190) 986-0425
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
09/10/2023
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