Organization
SAND DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMIL OUSHAN JD (PRACTICE MANAGER)
(408) 250-9667
Entity
Organization
Contact information
Practice address
3110 CHINO AVE STE 120, CHINO HILLS, CA 91709-1294
(909) 313-5111
(909) 313-0959
Mailing address
3110 CHINO AVE STE 120, CHINO HILLS, CA 91709-1294
(909) 313-5111
(909) 313-0959
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
12/02/2019
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