GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION
NPI 1821116054
Specialist in Laguna Hills, CA

Q: What is Green Dermatologic Medical Group A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 26, 2007

24411 HEALTH CENTER DR STE 520, LAGUNA HILLS, CA 92653(949) 452-3841(949) 859-8937 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Green Dermatologic Medical Group A Medical Corporation NPPES

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

GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION (NPI 1821116054) is a healthcare organization registered as a specialist in Laguna Hills, California and active in the NPI registry since March 2007. The organization lists Rollin M Green, President, as its authorized official.

NPPES Registry Identity

NPI1821116054

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameGREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION

Location Address24411 HEALTH CENTER DR STE 520Laguna Hills, CA 92653-3633

Mailing Address24411 Health Center Dr Ste 520Laguna Hills, CA 92653-3633 · (949) 452-3841 · Fax (949) 859-8937

Phone(949) 452-3841

Fax(949) 859-8937

Organization SubpartNo

Authorized OfficialRollin M GreenPresident · (949) 452-3841

Enumeration DateMarch 26, 2007

Last NPPES UpdateMay 4, 2018

✔ NPI 1821116054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

24411 HEALTH CENTER DR STE 520, Laguna Hills, CA 92653

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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.

WALTER S GREEN, M.D. MEDICAL CORPORATION

Specialist

24411 HEALTH CENTER DR STE 520
LAGUNA HILLS, CA 92653

Orange County (949) 452-3841

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 Green Dermatologic Medical Group A Medical Corporation's NPI number?

The NPI number for Green Dermatologic Medical Group A Medical Corporation is 1821116054. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Green Dermatologic Medical Group A Medical Corporation located?

Green Dermatologic Medical Group A Medical Corporation is located at 24411 Health Center Dr Ste 520, Laguna Hills, CA 92653. The listed phone number is (949) 452-3841.

What is Green Dermatologic Medical Group A Medical Corporation'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 Green Dermatologic Medical Group A Medical Corporation was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.