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DERMESURGE INC
NPI 1538743752
Dermatology in Diamond Bar, CA

Active since May 12, 2021
1111 GRAND AVE STE K, DIAMOND BAR, CA 91765(909) 860-4254 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2023, May 12, 2021 (2 updates tracked since 2021).

About Dermesurge Inc NPPES

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

DERMESURGE INC (NPI 1538743752) is a healthcare organization registered as a dermatology in Diamond Bar, California and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Anaheim and lists Sam Abaza, Owner, as its authorized official.

NPPES Registry Identity

NPI1538743752
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMESURGE INC
Location Address1111 GRAND AVE STE KDiamond Bar, CA 91765-4172
Mailing Address1111 Grand Ave Ste KDiamond Bar, CA 91765-4172 · (190) 986-0425
Phone(909) 860-4254
Organization SubpartNo
Authorized OfficialSam AbazaOwner · (818) 726-8722
Enumeration DateMay 12, 2021
Last NPPES UpdateSeptember 10, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
✔ NPI 1538743752 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.
1111 GRAND AVE STE K, Diamond Bar, CA 91765
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Secondary Practice Location 1

Location 1175 S Harbor BlvdAnaheim, CA 92805 · Phone (909) 860-4254

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 3

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

DERMESURGE INC
Clinic/Center (Medical Specialty)
1111 GRAND AVE STE K
DIAMOND BAR, CA 91765
Los Angeles County (909) 860-4254
FELIPE DE JESUS CORONADO PA-C
Physician Assistant
1111 GRAND AVE STE K
DIAMOND BAR, CA 91765
Los Angeles County (909) 860-4254
SAM ABAZA M.D.
Dermatology
1111 GRAND AVE STE K
DIAMOND BAR, CA 91765
Los Angeles County (098) 604-2549

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 Dermesurge Inc's NPI number?

The NPI number for Dermesurge Inc is 1538743752. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Dermesurge Inc located?

Dermesurge Inc is located at 1111 Grand Ave Ste K, Diamond Bar, CA 91765. The listed phone number is (909) 860-4254.

What is Dermesurge 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 Dermesurge Inc was last updated on September 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.