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1033241138
SOUTH COAST DERMATOLOGY INSTITUTE, A MEDICAL CORPORATION
TUSTIN, CA
NPI
1033241138
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Entity Type
Organization
Authorized Contact
VINCE F AFSAHI
President
714-508-0754
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-03-12
Last Update Date
2011-01-05
Business Address
SOUTH COAST DERMATOLOGY INSTITUTE, A MEDICAL CORPORATION
2552 WALNUT AVE SUITE 120
TUSTIN, CA 92780-6935
Phone number: 714-508-0754
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Mailing Address
SOUTH COAST DERMATOLOGY INSTITUTE, A MEDICAL CORPORATION
2552 WALNUT AVE SUITE 120
TUSTIN, CA 92780-6935
Phone number: 714-508-0754
Copy
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