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

New Wave Dermatology and Laser

Organization MOHS-Micrographic Surgery Physician · NPI 1972302560

New Wave Dermatology and Laser is an MOHS-Micrographic Surgery Physician in Newport Beach, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5010 Campus Dr # 140
Newport Beach, CA 92660-2120
Phone: (949) 395-6221
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1972302560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobak Hedayati — Owner Ceo · (949) 395-6221
NPI enumeratedMarch 7, 2025
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025
Mailing address5010 Campus Dr # 140, Newport Beach, CA 92660-2120

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