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KRISTEN FORMAN MD INC
NPI 1073950325
Dermatology - Procedural Dermatology in Newport Beach, CA

Active since May 28, 2013
1617 WESTCLIFF DR, 100, NEWPORT BEACH, CA 92660(949) 515-4111(949) 515-0318 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristen Forman Md Inc NPPES

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

KRISTEN FORMAN MD INC (NPI 1073950325) is a healthcare organization registered as a procedural dermatology in Newport Beach, California and active in the NPI registry since May 2013. The organization lists Kristen Forman, President, as its authorized official.

NPPES Registry Identity

NPI1073950325
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameKRISTEN FORMAN MD INC
Location Address1617 WESTCLIFF DR, 100Newport Beach, CA 92660-5524
Mailing Address1617 Westcliff Dr, 100Newport Beach, CA 92660-5524 · (949) 515-4111 · Fax (949) 515-0318
Phone(949) 515-4111
Fax(949) 515-0318
Organization SubpartNo
Authorized OfficialKristen FormanPresident · (949) 515-4111
Enumeration DateMay 28, 2013
✔ NPI 1073950325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
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).
1617 WESTCLIFF DR, Newport Beach, CA 92660
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CYNTHIA CHEN LAZZARO D.O.
Dermatology
1617 WESTCLIFF DR, SUITE 100
NEWPORT BEACH, CA 92660
Orange County (949) 515-4111
TERRY JOEL DUBROW M.D.
Plastic Surgery
1617 WESTCLIFF DR
NEWPORT BEACH, CA 92660
Orange County (949) 515-4111
DOUGLAS R MEST MD INCORPORATED
Anesthesiology
1617 WESTCLIFF DR
NEWPORT BEACH, CA 92660
Orange County (800) 883-7243
DR. ALYSIA CHRISTINA BORGMAN DDS
Dentist
1617 WESTCLIFF DR, 203
NEWPORT BEACH, CA 92660
Orange County (949) 646-7789
LTC DERMATOLOGY
Dermatology
1617 WESTCLIFF DR, #100
NEWPORT BEACH, CA 92660
Orange County (949) 515-4111
WESTCLIFF SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
1617 WESTCLIFF DR, SUITE 106
NEWPORT BEACH, CA 92660
Orange County (949) 515-6218
DR. MARY CARLYN EBERHART D.C.
Chiropractor
1617 WESTCLIFF DR, 200
NEWPORT BEACH, CA 92660
Orange County (949) 650-4362
BRUCE B LEE, M.D.
Obstetrics & Gynecology (Gynecology)
1617 WESTCLIFF DR
NEWPORT BEACH, CA 92660
Orange County (800) 660-6030

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 Kristen Forman MD Inc's NPI number?

The NPI number for Kristen Forman MD Inc is 1073950325. It was assigned to this organization in the NPPES registry on May 28, 2013.

Where is Kristen Forman MD Inc located?

Kristen Forman MD Inc is located at 1617 Westcliff Dr 100, Newport Beach, CA 92660. The listed phone number is (949) 515-4111.

What is Kristen Forman MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Kristen Forman MD Inc was last updated on May 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.