SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC.

SAN DIEGO, CA
NPI1447334396
Entity TypeOrganization
Authorized ContactFRED F SHAHAN
President
619-287-1882
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  G83901)
Enumeration Date2006-10-25
Last Update Date2012-12-26
Business Address
SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC.
6367 ALVARADO CT SUITE 107
SAN DIEGO, CA 92120-4904
Phone number: 619-287-1882
Mailing Address
SAN DIEGO DERMATOLOGY AND COSMETIC SURGERY MEDICAL GROUP, INC.
6367 ALVARADO CT SUITE 107
SAN DIEGO, CA 92120-4904
Phone number: 619-287-1882
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