Organization
MODERN DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG KWAK MD (CEO)
(678) 779-2241
Entity
Organization
Contact information
Practice address
2921 PALO VERDE AVE # 102, LONG BEACH, CA 90815-1552
(678) 779-2241
Mailing address
601 WAKEFIELD CT UNIT 103, LONG BEACH, CA 90803-7118
(678) 779-2241
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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