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1942654439
UC IRVINE HEALTH DERMATOLOGY SERVICES
COSTA MESA, CA
NPI
1942654439
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Entity Type
Organization
Authorized Contact
MANUEL PORTO
President
714-456-2986
Organization Subpart ?
Yes
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
UC IRVINE HEALTH DERMATOLOGY SERVICES
1640 NEWPORT BLVD SUITE 240
COSTA MESA, CA 92627-3786
Phone number: 949-999-2413
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Mailing Address
UC IRVINE HEALTH DERMATOLOGY SERVICES
PO BOX 513230
LOS ANGELES, CA 90051-3230
Phone number: 714-456-3760
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