Organization
DERM LOUNGE PC
Active
Other names
Derm Lounge
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH C AWADALLA MD (MEDICAL DIRECTOR)
(714) 458-6668
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY STE 210, IRVINE, CA 92618-3176
(714) 798-2900
(949) 216-3232
Mailing address
113 WATERWORKS WAY STE 210, IRVINE, CA 92618-3176
(714) 798-2900
(949) 216-3232
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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