Organization
ORANGE COAST DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A DICESARE M.D. (PRESIDENT)
(949) 888-8500
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 461, MISSION VIEJO, CA 92691-6306
(949) 364-3305
(949) 347-1606
Mailing address
34145 PACIFIC COAST HWY, # 670, DANA POINT, CA 92629-2808
(949) 888-8500
(949) 888-9724
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
A83696
CA
Other
Enumeration date
10/22/2008
Last updated
09/30/2009
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