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DELTA DERMATOLOGY MEDICAL GROUP
NPI 1346307105
Specialist in Inglewood, CA

Active since January 02, 2007
310 N PRAIRIE AVE, SUITE 412, INGLEWOOD, CA 90301(310) 673-3582(310) 677-5466 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delta Dermatology Medical Group NPPES

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

DELTA DERMATOLOGY MEDICAL GROUP (NPI 1346307105) is a healthcare organization registered as a specialist in Inglewood, California and active in the NPI registry since January 2007. The organization lists Darlene D Sampson, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1346307105
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDELTA DERMATOLOGY MEDICAL GROUP
Location Address310 N PRAIRIE AVE, SUITE 412Inglewood, CA 90301
Mailing Address310 N Prairie Ave, Suite 412Inglewood, CA 90301 · (310) 673-3582 · Fax (310) 677-5466
Phone(310) 673-3582
Fax(310) 677-5466
Organization SubpartNo
Authorized OfficialDarlene D SampsonSole Proprietor · (310) 673-3582
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 6, 2008
✔ NPI 1346307105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G49164
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.
310 N PRAIRIE AVE, Inglewood, CA 90301
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Other Identifiers 3

Medicare UPINA51280CA
Medicare ID-Type UnspecifiedW11323CA
Medicaid00G491641CA

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

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 Delta Dermatology Medical Group's NPI number?

The NPI number for Delta Dermatology Medical Group is 1346307105. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Delta Dermatology Medical Group located?

Delta Dermatology Medical Group is located at 310 N Prairie Ave Suite 412, Inglewood, CA 90301. The listed phone number is (310) 673-3582.

What is Delta Dermatology Medical Group'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 Delta Dermatology Medical Group was last updated on August 6, 2008. 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.