INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. - NPI 1013136357

Q: What is the provider's specialty?

The provider's specialty is Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

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About Integrated Dermatology And Dermatopathology, Inc. NPPES

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

INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. (NPI 1013136357) is a healthcare organization registered as a procedural dermatology in Newport Beach, California and active in the NPI registry since April 2007. The organization lists Kay Keeyeul Sung, President, as its authorized official.

NPPES Registry Identity

NPI1013136357

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameINTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.

Location Address1525 SUPERIOR AVE, SUITE 210Newport Beach, CA 92663-3639

Mailing Address11902 Candor StCerritos, CA 90703-6907 · (562) 714-5849

Phone(949) 722-3555

Fax(949) 722-3512

Organization SubpartNo

Authorized OfficialKay Keeyeul SungPresident · (949) 722-3555

Enumeration DateApril 25, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1013136357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in CA · A86806

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedDermatologyTaxonomy 207N00000X · License A86806 (CA)

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A86806 (CA)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License A86806 (CA)

1525 SUPERIOR AVE, Newport Beach, CA 92663

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP