BAYSIDE DERMATOLOGY INCORPORATED

SAN DIEGO, CA
NPI1982803821
Entity TypeOrganization
Authorized ContactBRYAN CHEN
Owner
858-552-8096
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A79823)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: CA  A79823)
207ND0900X Dermatology, Dermatopathology
(Licence: CA  A79823)
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
(Licence: CA  A79823)
207NS0135X Dermatology, Procedural Dermatology
(Licence: CA  A79823)
207NP0225X Dermatology, Pediatric Dermatology
(Licence: CA  A79823)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
BAYSIDE DERMATOLOGY INCORPORATED
8174 REGENTS RD APT 303
SAN DIEGO, CA 92122-1371
Phone number: 858-552-8096
Mailing Address
BAYSIDE DERMATOLOGY INCORPORATED
8174 REGENTS RD APT 303
SAN DIEGO, CA 92122-1371
Phone number: