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

Corona Dermatology Center Inc

Organization Dermatology Physician · NPI 1790890085

Corona Dermatology Center Inc is a Dermatology Physician in Corona, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
5
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

1810 Fullerton Ave Ste 101
Corona, CA 92881-3103
Phone: (951) 734-7900
Fax: (909) 860-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G044761 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence G044761 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence G044761 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence G044761 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence G044761 (CA)

Record details

NPI number1790890085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Fortich — Billing Manager · (909) 860-7600
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 13, 2010
Mailing addressPo Box 15807, Beverly Hills, CA 90209-1807

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