CITY SOUTH DERMATOLOGY
NPI 1255946315
Dermatology in Kent, WA

Active since September 14, 2020
24604 104TH AVE SE, KENT, WA 98030(617) 412-1987 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City South Dermatology NPPES

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

CITY SOUTH DERMATOLOGY (NPI 1255946315) is a healthcare organization registered as a dermatology in Kent, Washington and active in the NPI registry since September 2020. The organization lists Richard Lee-tsong Lin, Governor, as its authorized official.

NPPES Registry Identity

NPI1255946315
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCITY SOUTH DERMATOLOGY PLLC
Location Address24604 104TH AVE SEKent, WA 98030-5385
Mailing Address3715 196th St Sw Unit 2058Lynnwood, WA 98036-3202
Organization SubpartNo
Authorized OfficialRichard Lee-tsong LinGovernor · (617) 412-1987
Enumeration DateSeptember 14, 2020
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1255946315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
24604 104TH AVE SE, Kent, WA 98030

Other Names 1

Other NameCity South Dermatology

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 6

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

Family Medicine
24604 104TH AVE SE
KENT, WA 98030
Surgery
24604 104TH AVE SE, SUITE 201
KENT, WA 98030
Internal Medicine
24604 104TH AVE SE, STE 202
KENT, WA 98030
Clinic/Center
24604 104TH AVE SE, # 202
KENT, WA 98030
Surgery
24604 104TH AVE SE, SUITE 201
KENT, WA 98030
Surgery
24604 104TH AVE SE, SUITE 201
KENT, WA 98030

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 City South Dermatology PLLC's NPI number?

The NPI number for City South Dermatology PLLC is 1255946315. It was assigned to this organization in the NPPES registry on September 14, 2020. The provider is also known as City South Dermatology.

Where is City South Dermatology PLLC located?

City South Dermatology PLLC is located at 24604 104th Ave SE, Kent, WA 98030. The listed phone number is (617) 412-1987.

What is City South Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for City South Dermatology PLLC was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.