Organization · Type 2 NPI

Integrated Dermatology and Dermatopathology, Inc.

Procedural Dermatology Physician · Newport Beach, CA

NPI number 1013136357 Active

Practice location

1525 Superior Ave, Suite 210
Newport Beach, CA 92663-3639

Call (949) 722-3555 Map

Fax (949) 722-3512

Mailing address

11902 Candor St
Cerritos, CA 90703-6907

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XA86806 (CA)
MOHS-Micrographic Surgery Physician 207ND0101XA86806 (CA)
Dermatopathology Physician 207ND0900XA86806 (CA)
Procedural Dermatology Physician Primary 207NS0135XA86806 (CA)

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

16 other providers at this address

Other procedural dermatology physician providers in Newport Beach

See all in Newport Beach →

About NPI 1013136357

Integrated Dermatology and Dermatopathology, Inc.'s National Provider Identifier is 1013136357, issued on Apr 25, 2007. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 11, 2025.