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

East Bay Dermatology Medical Group Inc

Organization Specialist · NPI 1467640284

East Bay Dermatology Medical Group Inc is a Specialist in Milpitas, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1158 Jacklin Rd
Milpitas, CA 95035-3700
Phone: (408) 957-7676
Fax: (408) 942-1342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G53340 (CA)

Record details

NPI number1467640284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sunil Dhawan — Secretary Of The Corporation · (408) 957-7676
Other names Center For Dermatology Cosmetic And Laser Surgery
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007
Mailing address2557 Mowry Ave Ste 34, Fremont, CA 94538-1614

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