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BOTOX FILLERS DERMATOLOGY INC
NPI 1689567125
Clinic/Center in Rancho Cucamonga, CA

Active since June 02, 2025
10601 CHURCH ST STE 123, RANCHO CUCAMONGA, CA 91730(909) 321-8030 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 10, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Botox Fillers Dermatology Inc NPPES

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

BOTOX FILLERS DERMATOLOGY INC (NPI 1689567125) is a healthcare organization registered as a clinic/center in Rancho Cucamonga, California and active in the NPI registry since June 2025. The organization lists David Opai-tetteh, Owner, as its authorized official.

NPPES Registry Identity

NPI1689567125
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBOTOX FILLERS DERMATOLOGY INC
Location Address10601 CHURCH ST STE 123Rancho Cucamonga, CA 91730-6840
Mailing Address10601 Church St Ste 123Rancho Cucamonga, CA 91730-6840
Phone(909) 321-8030
Organization SubpartNo
Authorized OfficialDavid Opai-tettehOwner · (424) 420-3461
Enumeration DateJune 2, 2025
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1689567125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10601 CHURCH ST STE 123, Rancho Cucamonga, CA 91730
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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 Botox Fillers Dermatology Inc's NPI number?

The NPI number for Botox Fillers Dermatology Inc is 1689567125. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Botox Fillers Dermatology Inc located?

Botox Fillers Dermatology Inc is located at 10601 Church St Ste 123, Rancho Cucamonga, CA 91730. The listed phone number is (909) 321-8030.

What is Botox Fillers Dermatology Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Botox Fillers Dermatology Inc was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.