Organization
CAPISTRANO SKIN CANCER CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE LEIVA (MANAGER)
(949) 248-1632
Entity
Organization
Contact information
Practice address
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1561
(949) 248-1632
Mailing address
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1561
(949) 248-1632
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CA
Other
Enumeration date
02/03/2016
Last updated
07/21/2022
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