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
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