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

Dermatology & Laser Clinic, Inc

Organization Dermatology Physician · NPI 1124166400

Dermatology & Laser Clinic, Inc is a Dermatology Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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

401 Old Newport Blvd Ste 102
Newport Beach, CA 92663-4269
Phone: (949) 631-0300
Fax: (949) 631-0302
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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 A69586 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A69586 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A69586 (CA)

Record details

NPI number1124166400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Hite — Ceo · (949) 631-0300
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJanuary 19, 2012
Mailing address401 Old Newport Blvd, Suite 102, Newport Beach, CA 92663-4269

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