CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER (NPI# 1063502227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063502227 |
| Entity Type | Organization |
| Organization Name | CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER |
| Other Organization Name | CONTOUR DERMATOLOGY AND COSMETIC SURGERY CENTER |
| Practice Address |
42600 Mirage Rd Suite A1 Rancho Mirage CA 92270-4127 |
| Mailing Address |
42600 Mirage Rd Ste A1 Rancho Mirage CA 92270-4127 |
| Practice Telephone | 7604166971 |
| Practice Fax Number | 7603188103 |
| Mailing Telephone | 7604234000 |
| Mailing Fax Number | 7603188103 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MR. LEE ELIAS ERWIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7604234043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A70216 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Contour Dermatology and Cosmetic Surgery Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1180 N Indian Canyon Dr Ste E419, Palm Springs, CA 922624868 | 7604234000 | 7603188103 |
| 46080 Jefferson St, La Quinta, CA 922534401 | 7604234000 | 7603188103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154834992 | Contour Dermatology and Cosmetic Surgery Medical Center | Clinic/Center | 46080 Jefferson St, La Quinta, CA 92253-4401 | 2017-11-15 |
| Street Address |
42600 MIRAGE RD SUITE A1 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433437 | Elaine Woo | Nurse Practitioner | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2005-08-10 |
| 1184100265 | Laura Lynn Moroney | Nurse Practitioner | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2018-07-12 |
| 1033664735 | Jochen Medical Weight Loss, Apc | Preventive Medicine | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2016-08-23 |
| 1538518949 | Jessica Lyn Arnold | Nurse Practitioner | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2016-06-07 |
| 1851532220 | Kara Lynn Crane | Nurse Practitioner | 42600 Mirage Rd, Bldg A1, Rancho Mirage, CA 92270-4127 | 2009-03-16 |
| 1083748461 | Timothy Mark Jochen | Dermatology | 42600 Mirage Rd, Bldg A1, Rancho Mirage, CA 92270-4127 | 2007-03-15 |
| 1881790418 | Anand Raja Bhupathy | Dermatology | 42600 Mirage Rd, Rancho Mirage, CA 92270-4127 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.