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ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP
NPI 1891986204
Specialist in Tustin, CA

Active since August 09, 2007
12721 NEWPORT AVE, SUITE 4, TUSTIN, CA 92780(714) 838-5680(714) 544-1321 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alamitos Dermatological Medical Clinic A Professional Corp NPPES

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

ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP (NPI 1891986204) is a healthcare organization registered as a specialist in Tustin, California and active in the NPI registry since August 2007. The organization lists Monica T Dennis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891986204
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP
Location Address12721 NEWPORT AVE, SUITE 4Tustin, CA 92780-8030
Mailing Address12721 Newport Ave, Suite 4Tustin, CA 92780-8030 · (714) 838-5680 · Fax (714) 544-1321
Phone(714) 838-5680
Fax(714) 544-1321
Organization SubpartNo
Authorized OfficialMonica T DennisAdministrator · (562) 619-8440
Enumeration DateAugust 9, 2007
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1891986204 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.

12721 NEWPORT AVE, Tustin, CA 92780
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Other Identifiers 1

Medicare UPINW1155ECA

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.

DR. DAVID RICHARD GORRIE D.C.
Chiropractor
12721 NEWPORT AVE, SUITE 2
TUSTIN, CA 92780
Orange County (714) 544-9789
CALIFORNIA SCOLIOSIS CENTER
Chiropractor
12721 NEWPORT AVE, SUITE 2
TUSTIN, CA 92780
Orange County (714) 544-9789
DAVID JUSTIN VALLE D.C.
Chiropractor
12721 NEWPORT AVE, STE 2
TUSTIN, CA 92780
Orange County (949) 587-9990

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 Alamitos Dermatological Medical Clinic A Professional Corp's NPI number?

The NPI number for Alamitos Dermatological Medical Clinic A Professional Corp is 1891986204. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Alamitos Dermatological Medical Clinic A Professional Corp located?

Alamitos Dermatological Medical Clinic A Professional Corp is located at 12721 Newport Ave Suite 4, Tustin, CA 92780. The listed phone number is (714) 838-5680.

What is Alamitos Dermatological Medical Clinic A Professional Corp'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 Alamitos Dermatological Medical Clinic A Professional Corp was last updated on February 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.