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

Diakoniamed

Organization Dermatology Physician · NPI 1699265868

Diakoniamed is a Dermatology Physician in Fullerton, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

2720 N Harbor Blvd Ste 205
Fullerton, CA 92835-2609
Phone: (718) 882-5525
Fax: (714) 882-5078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 W Bastanchury Rd Ste 140, Fullerton, CA 92835-3427 — (714) 882-5525

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1699265868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Sire — Medical Director · (714) 882-5525
Other names Exceptional Dermatology Care
NPI enumeratedMay 14, 2018
Last updated in NPPESJuly 16, 2019
Mailing address301 W Bastanchury Rd Ste 140, Fullerton, CA 92835-3427

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