Organization
O & P DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMEED AHADIAT MD (PRESIDENT)
(714) 598-9939
Entity
Organization
Contact information
Practice address
3028 E COAST HWY, CORONA DEL MAR, CA 92625-2209
(714) 598-9939
Mailing address
20270 KLINE LN, YORBA LINDA, CA 92887-3269
(714) 598-9939
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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