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

Garden Grove Dermatology Center

Organization Specialist · NPI 1386678894

Garden Grove Dermatology Center is a Specialist in Garden Grove, Colorado. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

12665 Garden Grove Blvd #701
Garden Grove, CO 92843
Phone: (714) 530-7011
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1386678894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Fortich — Billing Supervisor · (909) 860-7600
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressP.O. Box 15807, Beverly Hills, CA 90209