MAGNOLIA DERMATOLOGY INC
NPI 1972990653
Dermatology in Corona, CA

Active since April 21, 2015
770 MAGNOLIA AVE, SUITE 2G, CORONA, CA 92879(951) 734-6500(951) 734-6555 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Dermatology Inc NPPES

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

MAGNOLIA DERMATOLOGY INC (NPI 1972990653) is a healthcare organization registered as a dermatology in Corona, California and active in the NPI registry since April 2015. The organization lists Babak Roshdieh, Owner, as its authorized official.

NPPES Registry Identity

NPI1972990653
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMAGNOLIA DERMATOLOGY INC
Location Address770 MAGNOLIA AVE, SUITE 2GCorona, CA 92879-3120
Mailing Address770 Magnolia Ave, Suite 2gCorona, CA 92879-3120 · (951) 734-6500 · Fax (951) 734-6555
Fax(951) 734-6555
Organization SubpartNo
Authorized OfficialBabak RoshdiehOwner · (951) 734-6500
Enumeration DateApril 21, 2015
NPI 1972990653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A76333
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.
770 MAGNOLIA AVE, Corona, CA 92879

Other Identifiers 1

Medicare UPINH51277CA

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 20

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

Eyewear Supplier
770 MAGNOLIA AVE, SUITE 2D
CORONA, CA 92879
Internal Medicine
770 MAGNOLIA AVE, STE 2-C
CORONA, CA 92879
Marriage & Family Therapist
770 MAGNOLIA AVE, SUITE 1F
CORONA, CA 92879
Pharmacist
770 MAGNOLIA AVE, SUITE 1G
CORONA, CA 92879
Nurse Practitioner (Psychiatric/Mental Health)
770 MAGNOLIA AVE, #2F
CORONA, CA 92879
Psychiatry & Neurology (Psychiatry)
770 MAGNOLIA AVE, SUITE 1F
CORONA, CA 92879
Orthopaedic Surgery
770 MAGNOLIA AVE, STE 1D
CORONA, CA 92879
Durable Medical Equipment & Medical Supplies
770 MAGNOLIA AVE, SUITE 1H
CORONA, CA 92879

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 Magnolia Dermatology Inc's NPI number?

The NPI number for Magnolia Dermatology Inc is 1972990653. It was assigned to this organization in the NPPES registry on April 21, 2015.

Where is Magnolia Dermatology Inc located?

Magnolia Dermatology Inc is located at 770 Magnolia Ave Suite 2G, Corona, CA 92879. The listed phone number is (951) 734-6500.

What is Magnolia Dermatology 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 Magnolia Dermatology Inc was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.