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COVINA DERMATOLOGY CENTER
NPI 1003840521
Specialist in Covina, CA

Active since July 10, 2006
315 N 3RD AVENUE, STE 304, COVINA, CA 91723(626) 332-7522 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Covina Dermatology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVINA DERMATOLOGY CENTER (NPI 1003840521) is a healthcare organization registered as a specialist in Covina, California and active in the NPI registry since July 2006. The organization lists Joy Fortich, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1003840521
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOVINA DERMATOLOGY CENTER
Location Address315 N 3RD AVENUE, STE 304Covina, CA 91723-1916
Mailing AddressP.o. Box 15807Beverly Hills, CA 90209 · (908) 860-7600
Phone(626) 332-7522
Organization SubpartNo
Authorized OfficialJoy FortichBilling Supervisor · (909) 860-7600
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1003840521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
315 N 3RD AVENUE, Covina, CA 91723
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Other Identifiers 1

Medicare ID-Type UnspecifiedW18463CA · Provider Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covina Dermatology Center's NPI number?

The NPI number for Covina Dermatology Center is 1003840521. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Covina Dermatology Center located?

Covina Dermatology Center is located at 315 N 3rd Avenue Ste 304, Covina, CA 91723. The listed phone number is (626) 332-7522.

What is Covina Dermatology Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Covina Dermatology Center was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.