Organization
CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH GINN (AUTHORIZED CREDENTIALING SPECIALIST)
(805) 392-5138
Entity
Organization
Contact information
Practice address
50 BELLEFONTAINE ST STE 202, PASADENA, CA 91105-3132
(818) 636-9039
Mailing address
50 BELLEFONTAINE ST STE 202, PASADENA, CA 91105-3132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
03/22/2026
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