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

Dermesurge Inc

Organization Dermatology Physician · NPI 1538743752

Dermesurge Inc is a Dermatology Physician in Diamond Bar, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172
Phone: (909) 860-4254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 175 S Harbor Blvd, Anaheim, CA 92805 — (909) 860-4254

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1538743752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Abaza — Owner · (818) 726-8722
NPI enumeratedMay 12, 2021
Last updated in NPPESSeptember 10, 2023
Certification dateSeptember 10, 2023
Mailing address1111 Grand Ave Ste K, Diamond Bar, CA 91765-4172

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