Organization
SEASIDE DERMATOLOGY, INC.
Active
Organization
SEASIDE DERMATOLOGY, INC.
Active
Other names
Seaside Dermatology and Skin Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEN THANH TRAN M.D.-PH.D. (CEO)
(949) 278-2209
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY, SUITE 307, IRVINE, CA 92604-4671
(949) 552-1313
Mailing address
4950 BARRANCA PKWY STE 307, IRVINE, CA 92604-4631
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A104847
CA
Other
Enumeration date
04/28/2012
Last updated
03/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up