GOTTSCHALK MEDICAL PLAZA - DERMATOLOGY
NPI 1598201253
Clinic/Center - Medical Specialty in Irvine, CA

Active since January 18, 2017
1 MEDICAL PLAZA DR, BLDG. 820, IRVINE, CA 92697(949) 824-0606(855) 209-8413 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About GOTTSCHALK MEDICAL PLAZA - DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Gottschalk Medical Plaza - Dermatology, a provider established in Irvine, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1598201253 assigned on January 2017. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Manuel Porto Md (President & Ceo)

NPI
1598201253 Verify this NPI
Provider Name
GOTTSCHALK MEDICAL PLAZA - DERMATOLOGY
Entity Type
Organization
Location Address
1 MEDICAL PLAZA DR BLDG. 820 IRVINE, CA 92697
Location Phone
(949) 824-0606
Location Fax
(855) 209-8413
Mailing Address
PO BOX 513230 LOS ANGELES, CA 90051
Mailing Phone
(714) 456-3760
Mailing Fax
(714) 456-2398
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-18-2017
Last Update Date
01-18-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANUEL PORTO MD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(714) 456-2986

Reviews for GOTTSCHALK MEDICAL PLAZA - DERMATOLOGY

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
1 MEDICAL PLAZA DR
IRVINE, CA 92697
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 MEDICAL PLAZA DR
IRVINE, CA 92697

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598201253, enumerated as an "organization" on January 18, 2017.

The provider is located at 1 MEDICAL PLAZA DR BLDG. 820 IRVINE, CA 92697 and the phone number is (949) 824-0606.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.