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

Lakeside Dermatology - a Professional Medical Corporation

Organization Dermatology Physician · NPI 1780963991

Lakeside Dermatology - a Professional Medical Corporation is a Dermatology Physician in San Francisco, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1 Shrader St #640
San Francisco, CA 94117
Phone: (415) 422-0000
Fax: (415) 424-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A9018 (CA)

Record details

NPI number1780963991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alice Do — President · (415) 317-7261
NPI enumeratedAugust 5, 2011
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing address1 Shrader Street, 640, San Francisco, CA 94117

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