LTC DERMATOLOGY

NEWPORT BEACH, CA
NPI1174857023
Entity TypeOrganization
Authorized ContactTERRY JOEL DUBROW
President
949-515-4111
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  g62109)
Enumeration Date2009-09-24
Last Update Date2009-09-24
Business Address
LTC DERMATOLOGY
1617 WESTCLIFF DR #100
NEWPORT BEACH, CA 92660-5524
Phone number: 949-515-4111
Mailing Address
LTC DERMATOLOGY
1617 WESTCLIFF DR #100
NEWPORT BEACH, CA 92660-5524
Phone number: 949-515-4111