Beverly, Roland Spurgeon

Beverly, Roland Spurgeon is an individual health care provider with primary practice located at 24541 Pacific Park Dr Suite 103, Aliso Viejo CA 92656-3065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Beverly, Roland Spurgeon can be contacted via phone (949) 831-3057.

Contact Information

Primary practice address
24541 Pacific Park Dr Suite 103 Aliso Viejo CA 92656-3065
Phone: (949) 831-3057
Fax: (949) 831-2515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G65658 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G65658 California

Profile Details

NPI number 1083687776
LBN Legal business name Beverly, Roland Spurgeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2006
Last updated May 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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