EAST COUNTY DERMATOLOGY MEDICAL GROUP INC


Address: 514 S Magnolia Ave, El Cajon, CA 92020-6011
Phone: 6194424468

EAST COUNTY DERMATOLOGY MEDICAL GROUP INC (NPI# 1346254000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346254000
Entity Type Organization
Organization Name EAST COUNTY DERMATOLOGY MEDICAL GROUP INC
Practice Address 514 S Magnolia Ave
El Cajon
CA 92020-6011
Practice Telephone 6194424468
Practice Fax Number 6194426432
Mailing Telephone 6194424468
Mailing Fax Number 6194426432
Enumeration Date 2006-07-28
Last Update Date 2015-06-04
Authorized Official Name DR. MICHAEL JOSEPH THOENE (PRESIDENT)
Authorized Official Telephone 6194424468
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology G25265 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0017821 05
CA GR0017820 05

Office Location

Street Address 514 S MAGNOLIA AVE
City EL CAJON
State CA
Zip Code 92020-6011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003996828 Michael Joseph Thoene Dermatology 514 S Magnolia Ave, El Cajon, CA 92020-6011 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447877840 Margarito Alejandro Torres Behavior Technician 1005 S. Sunshine Ave, El Cajon, CA 92020 2020-07-01
1619503166 Stella Zeicu Varagic Dentist 2526 Fletcher Pkwy, El Cajon, CA 92020 2020-03-17
1548827819 Unexpected Possibilities, Inc Non-emergency Medical Transport (VAN) 1015 El Cajon Blvd # A, El Cajon, CA 92020 2019-05-22
1083175707 Maricela Uriarte D.d.s Dentist 164 W Park Ave, El Cajon, CA 92020 2019-03-26
1881153963 Rubeleta Medina Nurse Practitioner 1908 Friendship Drive, El Cajon, CA 92020 2019-03-18
1235619800 Melissa Gomez Counselor 1600 Cuyamaca St, El Cajo, CA 92020 2018-08-14
1013407790 Erin Metcalf Family Medicine 133 W Main St., 240, El Cajon, CA 92020 2018-05-17
1326535220 Diana Orozco Counselor 1870cordell Court, Suite 101, El Cajon, CA 92020 2018-04-16
1104330646 Mercy Air Service, Inc. Ambulance 545 Kenney St Ste G1a, El Cajon, CA 92020 2017-11-20
1790296184 Way Cool Homecare, Inc In Home Supportive Care 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 2017-10-12
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154309862 William Frank Resh Dermatology 292 Avocado Ave, El Cajon, CA 92020-4604 2006-01-03
1457656738 Jennifer Yeh Chiang Dermatology 292 Avocado Ave, El Cajon, CA 92020-4604 2011-01-18
1790868735 Doyle D Hansen Dermatology 1679 E Main St, El Cajon, CA 92021-5212 2006-10-23
1003996828 Michael Joseph Thoene Dermatology 514 S Magnolia Ave, El Cajon, CA 92020-6011 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275144024 Lumins Aesthetic and Wellness, Inc Dermatology 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 2020-08-14
1669081204 Lucy Boyadzhian Dermatology 7472 Melrose Ave, Los Angeles, CA 90046-7524 2020-07-29
1033730981 Adrianna Janell Browne, Md, Inc. Dermatology 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 2020-05-01
1215564877 Jasmine Khachatrian Dermatology 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 2020-03-24
1386277499 Jessica Hsu, M.d.,inc Dermatology 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 2020-02-17
1245862101 Yuval Bibi, A Professional Corporation Dermatology 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 2020-02-09
1457982001 Modesty Joy Isaguirre Dermatology 140 S Grand Ave, Glendora, CA 91741-4259 2020-02-03
1790322063 Mfc Dermatology Dermatology 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 2019-12-05
1336784206 Barbara Kinkle Pa Inc., A Physician Assistant Corporation Dermatology 24575 Hunt Ave, Corning, CA 96021-8607 2019-11-14
1497399141 Dermatology Specialists Inc Dermatology 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 2019-11-05
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Competitor

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City EL CAJON
Zip Code 92020

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Dataset Information

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.

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