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

Glendora Dermatologic and Cosmetic Surgery Center

Organization Procedural Dermatology Physician · NPI 1043323801

Glendora Dermatologic and Cosmetic Surgery Center is a Procedural Dermatology Physician in Glendora, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

412 W Carroll Ave Ste 208
Glendora, CA 91741-4280
Phone: (626) 335-1606
Fax: (626) 963-0575
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1043323801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Gormley — Owner /President · (626) 335-1606
NPI enumeratedAugust 16, 2006
Last updated in NPPESSeptember 30, 2010
Mailing address412 W Carroll Ave, Suite 208, Glendora, CA 91741-4240

Other providers in Glendora