Organization
CT DERMATOLOGY & ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
CT DERMATOLOGY & ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDO A. MARCOS M.D. (MEDICAL DIRECTOR)
(818) 894-5616
Entity
Organization
Contact information
Practice address
15336 DEVONSHIRE ST. #1, MISSION HILLS, CA 91345-2766
(818) 894-5616
(818) 893-4872
Mailing address
15336 DEVONSHIRE ST. #1, MISSION HILLS, CA 91345-2766
(818) 894-5616
(818) 893-4872
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G38005
CA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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