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

Innovative Dermatology Alliance Ca

Organization Dermatology Physician · NPI 1083188221

Innovative Dermatology Alliance Ca is a Dermatology Physician in Visalia, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

5530 Avenida De Los Robles
Visalia, CA 93291
Phone: (559) 733-5050
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1083188221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Rex — Owner/Provider · (904) 994-4533
Other names Peak Dermatology; Peak Dermatology Aesthetics And Wellness
NPI enumeratedJanuary 21, 2019
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address13921 W Grand Ave Bldg E, Surprise, AZ 85374-2439

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