Organization
DERMATOLOGY SURGICAL AND MEDICAL, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R LERNER MD (OWNER)
(858) 353-7247
Entity
Organization
Contact information
Practice address
2881 4TH AVE, SAN DIEGO, CA 92103-6207
(619) 291-8292
(619) 291-8229
Mailing address
2881 4TH AVE, SAN DIEGO, CA 92103-6207
(619) 291-8292
(619) 291-8229
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G886298
CA
Other
Enumeration date
11/07/2012
Last updated
12/28/2012
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