Organization
CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC
Active
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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