Organization
DELMAR DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN N LEDESMA MD (OWNER)
(909) 860-7600
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL SUITE #115, SAN DIEGO, CA 92130
(858) 259-9858
Mailing address
PO BOX 15807, BEVERLY HILLS, CA 90209-1807
(909) 860-7600
(909) 860-2757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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