Pacific Dermatology Institute

LBN: Pacific Dermatology Institute
Pacific Dermatology Institute is an health care organization with primary practice located at 770 Magnolia Ave Ste 1H , Corona CA 92879-3121. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Pacific Dermatology Institute can be contacted via phone (951) 734-8989, or through Mudge, Bradley Pierce via phone (951) 354-2220.

Contact Information

Primary practice address
770 Magnolia Ave Ste 1H Corona CA 92879-3121
Phone: (951) 734-8989
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mudge, Bradley Pierce Doctor of Medicine (MD)
Phone: (951) 354-2220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X

Profile Details

NPI number 1740410182
LBN Legal business name Pacific Dermatology Institute
DBA Doing business as
Authorized official Mudge, Bradley Pierce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2009
Last updated Jul 7th, 2023 - about 2 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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