Exceptional Dermatology Care

LBN: Diakoniamed
Exceptional Dermatology Care is an health care organization with primary practice located at 2720 N Harbor Blvd Ste 205 , Fullerton CA 92835-2609. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Diakoniamed can be contacted via phone (718) 882-5525, or through Sire, David via phone (714) 882-5525.

Contact Information

Primary practice address
2720 N Harbor Blvd Ste 205 Fullerton CA 92835-2609
Phone: (718) 882-5525
Fax: (714) 882-5078
Website:
Map and Directions
Authorized official contact:
Name: Sire, David Doctor of Medicine (MD)
Phone: (714) 882-5525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1699265868
LBN Legal business name Diakoniamed
DBA Doing business as Exceptional Dermatology Care
Authorized official Sire, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2018
Last updated Jul 16th, 2019 - about 6 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 1699265868 NPPES
California Other A22972 MEDICAL LIC

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