Organization
ALAMITOS DERMATOLOGICAL MEDICAL CLINIC, INC
Active
Other names
Coastal Dermatology and Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BART LUXENBERG M.D. (SECRETARY/TREASURER)
(562) 598-8593
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD, SUITE 427, HUNTINGTON BEACH, CA 92647-7101
(714) 842-7796
(714) 842-9206
Mailing address
3801 KATELLA AVE, SUITE 101, LOS ALAMITOS, CA 90720-3338
(562) 598-8593
(562) 594-0877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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