Organization
CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE
Active
Organization
CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY SMITH M.D. (PRESIDENT)
(760) 203-3839
Entity
Organization
Contact information
Practice address
561 SAXONY PL, SUITE 102, ENCINITAS, CA 92024-7700
(760) 203-3839
(760) 203-3840
Mailing address
561 SAXONY PL, SUITE 102, ENCINITAS, CA 92024-7700
(760) 203-3839
(760) 203-3840
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G65407
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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