Ltc Dermatology
Ltc Dermatology is a Dermatology Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
1617 Westcliff Dr #100Newport Beach, CA 92660-5524
Phone: (949) 515-4111
Fax: (949) 515-0318
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G62109 (CA) |
|---|
Record details
| NPI number | 1174857023 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terry Dubrow — President · (949) 515-4111 |
| NPI enumerated | September 24, 2009 |
| Last updated in NPPES | September 24, 2009 |
| Mailing address | 1617 Westcliff Dr, 100, Newport Beach, CA 92660-5524 |
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