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

Medderm Corporation

Organization Dermatology Physician · NPI 1063447936

Medderm Corporation is a Dermatology Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

3965 5th Ave Ste 200
San Diego, CA 92103-3107
Phone: (619) 542-0013
Fax: (619) 542-0559
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A88009 (CA)

Record details

NPI number1063447936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Pelle — Owner/Director · (619) 542-0013
Other names Medderm Associates
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address3965 5th Ave Ste 200, San Diego, CA 92103-3107

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