Organization · Type 2 NPI
Glendora Dermatologic and Cosmetic Surgery Center
Ambulatory Surgical Clinic/Center · Glendora, CA
NPI number
1043323801
Active
Practice location
412 W. Carroll Ave, Suite 208
Glendora, CA 91741-4280
Fax (626) 963-0575
Mailing address
412 W Carroll Ave, Suite 208
Glendora, CA 91741-4240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | None listed |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1043323801
Glendora Dermatologic and Cosmetic Surgery Center's National Provider Identifier is 1043323801, issued on Aug 16, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Glendora, CA. The record was last updated on Sep 30, 2010.