Organization · Type 2 NPI
Green Dermatologic Medical Group A Medical Corporation
Specialist · San Clemente, CA
NPI number
1154533685
Active
Practice location
657 Camino De Los Mares Ste 242
San Clemente, CA 92673-2811
Fax (949) 496-6497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | C36384 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1154533685
Green Dermatologic Medical Group A Medical Corporation's National Provider Identifier is 1154533685, issued on May 4, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Clemente, CA. The record was last updated on May 4, 2018.