Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology Surgical and Medical Group Inc

Organization Dermatology Physician · NPI 1154407856

Advanced Dermatology Surgical and Medical Group Inc is a Dermatology Physician in Lakewood, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3650 E South St #306
Lakewood, CA 90712
Phone: (562) 633-6353
Fax: (562) 633-4996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1154407856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredric Rosenberg — Owner · (562) 633-6353
NPI enumeratedOctober 27, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address3650 E South St, 306, Lakewood, CA 90712

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