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:
Authorized official contact:
Name: Mudge, Bradley Pierce Doctor of Medicine (MD)
Phone: (951) 354-2220
Health care specialties
| Specialty | Code | License # | 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 last year |
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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