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

Southern California Dermatology, Inc

Organization Dermatology Physician · NPI 1386629905

Southern California Dermatology, Inc is a Dermatology Physician in Santa Ana, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
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

1125 E 17th St W-248
Santa Ana, CA 92701-2201
Phone: (714) 547-5151
Fax: (714) 541-2016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1386629905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Baron — Owner · (714) 547-5151
Other names Southern California Dermatology, Inc
NPI enumeratedDecember 7, 2005
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address1125 E 17th St, W-248, Santa Ana, CA 92701-2201

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