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

Jsk Premier MSO Inc

Organization Dermatology Physician · NPI 1700713195

Jsk Premier MSO Inc is a Dermatology Physician in Fullerton, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
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

2720 N Harbor Blvd Ste 350
Fullerton, CA 92835-2602
Phone: (714) 529-8923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician Taxonomy 2084H0002X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1700713195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashish Bhavsar — Ceo · (909) 631-8521
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address17 Barlett Pl, Tustin, CA 92782-3742

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