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GLENDORA DERMATOLOGIC AND COSMETIC SURGERY CENTER
NPI 1043323801
Clinic/Center - Ambulatory Surgical in Glendora, CA

Active since August 16, 2006
412 W. CARROLL AVE, SUITE 208, GLENDORA, CA 91741(626) 335-1606(626) 963-0575 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glendora Dermatologic And Cosmetic Surgery Center NPPES

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

GLENDORA DERMATOLOGIC AND COSMETIC SURGERY CENTER (NPI 1043323801) is a healthcare organization registered as an ambulatory surgical in Glendora, California and active in the NPI registry since August 2006. The organization lists Daniel E Gormley, Owner /president, as its authorized official.

NPPES Registry Identity

NPI1043323801
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGLENDORA DERMATOLOGIC AND COSMETIC SURGERY CENTER
Location Address412 W. CARROLL AVE, SUITE 208Glendora, CA 91741-4280
Mailing Address412 W Carroll Ave, Suite 208Glendora, CA 91741-4240 · (626) 335-1606 · Fax (626) 963-0575
Phone(626) 335-1606
Fax(626) 963-0575
Organization SubpartNo
Authorized OfficialDaniel E GormleyOwner /president · (626) 335-1606
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 30, 2010
✔ NPI 1043323801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
412 W. CARROLL AVE, Glendora, CA 91741
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Other Identifiers 2

OtherS551093CA · Ptan (medicare Legacy #)
Medicare UPINA22480CA

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 Glendora Dermatologic And Cosmetic Surgery Center's NPI number?

The NPI number for Glendora Dermatologic And Cosmetic Surgery Center is 1043323801. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Glendora Dermatologic And Cosmetic Surgery Center located?

Glendora Dermatologic And Cosmetic Surgery Center is located at 412 W. Carroll Ave Suite 208, Glendora, CA 91741. The listed phone number is (626) 335-1606.

What is Glendora Dermatologic And Cosmetic Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Glendora Dermatologic And Cosmetic Surgery Center was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.