Organization
DERMATOLOGY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE LISK (ADMINISTRATOR)
(760) 757-7546
Entity
Organization
Contact information
Practice address
29826 HAUN RD, #308, MENIFEE, CA 92586-6546
(951) 304-7546
Mailing address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 757-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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