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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