Crystal Cove Dermatology, Inc.

LBN: Crystal Cove Dermatology, Inc.
Crystal Cove Dermatology, Inc. is an health care organization with primary practice located at 1441 Avocado Ave Suite 602, Newport Beach CA 92660-7721. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Crystal Cove Dermatology, Inc. can be contacted via phone (949) 640-9633, or through Critelli, Marguerite J via phone (949) 640-9633.

Contact Information

Primary practice address
1441 Avocado Ave Suite 602 Newport Beach CA 92660-7721
Phone: (949) 640-9633
Fax: (949) 640-9677
Website:
Map and Directions
Authorized official contact:
Name: Critelli, Marguerite J Doctor of Medicine (MD)
Phone: (949) 640-9633

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G076233 California

Profile Details

NPI number 1619186731
LBN Legal business name Crystal Cove Dermatology, Inc.
DBA Doing business as
Authorized official Critelli, Marguerite J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jun 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619186731 NPPES
California Other G76233 STATE LICENSE

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