Organization
RENEE COBOS MD CORPORATION
Active
Other names
premiere dermaology and laser center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE YVONNE COBOS MD (MEDICAL DIRECTOR)
(714) 870-7546
Entity
Organization
Contact information
Practice address
1950 SUNNY CREST, SUITE 2300, FULLERTON, CA 92835
(714) 870-7546
Mailing address
1950 SUNNY CREST, SUITE 2300, FULLERTON, CA 92835
(714) 870-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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