Organization · Type 2 NPI

Foothill Dermatology Medical Center

Specialist · Glendora, CA

NPI number 1154592368 Active

Practice location

2301 E Foothill Blvd, Ste 100
Glendora, CA 91740-4000

Fax (626) 852-3375

Other practice locations

  • 10470 Foothill Blvd Ste 127, Rancho Cucamonga, CA 91730-3754 · (626) 852-3376

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA73248 (CA)
MOHS-Micrographic Surgery Physician 207ND0101XA73218 (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.

8 other providers at this address

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About NPI 1154592368

Foothill Dermatology Medical Center's National Provider Identifier is 1154592368, issued on Mar 14, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendora, CA. The record was last updated on Jun 16, 2018.