Magnolia Dermatology Inc

LBN: Magnolia Dermatology Inc
Magnolia Dermatology Inc is an health care organization with primary practice located at 770 Magnolia Ave Suite 2G, Corona CA 92879-3120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Magnolia Dermatology Inc can be contacted via phone (951) 734-6500, or through Roshdieh, Babak via phone (951) 734-6500.

Contact Information

Primary practice address
770 Magnolia Ave Suite 2G Corona CA 92879-3120
Fax: (951) 734-6555
Website:
Authorized official contact:
Name: Roshdieh, Babak Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A76333 California

Profile Details

NPI number 1972990653
LBN Legal business name Magnolia Dermatology Inc
DBA Doing business as
Authorized official Roshdieh, Babak Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - about 9 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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