PACIFIC DERMATOLOGY INSTITUTE
Dermatology at Newport Center Dr, Newport Beach, CA

License number
California A79221
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MR. JEFFREY BOTTOMLEY
Title: PRACTICE ADMINISTRATOR
Phone: (909) 362-2966
Address
Address
240 Newport Center Dr SUITE 105, Newport Beach, CA 92660
National Provider ID: 1922486117
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PACIFIC DERMATOLOGY INSTITUTE INC

Newport Beach, CA  -  San Clemente, CA

Industry:
Medical Doctor's Office
Registration:
Jul 6, 2009
Addresses:
240 Newport Ctr Dr STE 105, Newport Beach, CA 92660 (Physical)
4706 Aqua Del Caballete, San Clemente, CA 92673
State ID:
C3217140
Business type:
Articles of Incorporation
President:
Bradley Mudge (President)

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