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Organization

MFC DERMATOLOGY

Active
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Organization

MFC DERMATOLOGY

Active
Parent organization
MFC DERMATOLOGY
Other names
MFC Dermatology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MFC DERMATOLOGY
Authorized official
MS. CASSANDRA STARKS (OFFICE MANAGER)
(310) 534-9100
Entity
Organization

Contact information

Practice address
3655 LOMITA BLVD STE 221, TORRANCE, CA 90505-1918
(310) 373-0515
(310) 373-0516
Mailing address
3655 LOMITA BLVD STE 221, TORRANCE, CA 90505-1918
(310) 373-0515
(310) 373-0516

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114983467
NPI
CA
01
1548416019
NPI
CA
01
1912097775
NPI
CA
Enumeration date
12/05/2019
Last updated
12/05/2019
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