ABDALLAH KHOURDAJI
NPI 1477729291
Dermatology in Lodi, CA

Active since May 01, 2008
801 S HAM LN STE A, LODI, CA 95242(209) 333-6110(209) 333-0724 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abdallah Khourdaji NPPES

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

ABDALLAH KHOURDAJI (NPI 1477729291) is a healthcare organization registered as a dermatology in Lodi, California and active in the NPI registry since May 2008. The organization lists Abdallah Khourdaji, President, as its authorized official.

NPPES Registry Identity

NPI1477729291
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC
Location Address801 S HAM LN STE ALodi, CA 95242-7502
Mailing Address801 S Ham Ln Ste ALodi, CA 95242-7502 · (209) 333-6110 · Fax (209) 333-0724
Fax(209) 333-0724
Organization SubpartYesParent: Fairmont Dermatlogy Medical Associates Inc
Authorized OfficialAbdallah KhourdajiPresident · (209) 333-6110
Enumeration DateMay 1, 2008
Last NPPES UpdateJune 13, 2008
NPI 1477729291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · 00A341430
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.

801 S HAM LN STE A, Lodi, CA 95242

Other Names 1

Doing Business AsAbdallah Khourdaji

Other Identifiers 2

Medicare UPINA27391CA
Other00A341430CA · Legacy Id#

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

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

Physician Assistant (Surgical)
801 S HAM LN STE A
LODI, CA 95242

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 Fairmont Dermatology Medical Associates Inc's NPI number?

The NPI number for Fairmont Dermatology Medical Associates Inc is 1477729291. It was assigned to this organization in the NPPES registry on May 1, 2008. The provider is doing business as Abdallah Khourdaji.

Where is Fairmont Dermatology Medical Associates Inc located?

Fairmont Dermatology Medical Associates Inc is located at 801 S Ham Ln Ste A, Lodi, CA 95242. The listed phone number is (209) 333-6110.

What is Fairmont Dermatology Medical Associates Inc'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 Fairmont Dermatology Medical Associates Inc was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.