DIAMOND BAR DERMATOLOGY CENTER (NPI# 1578597001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578597001 |
| Entity Type | Organization |
| Organization Name | DIAMOND BAR DERMATOLOGY CENTER |
| Practice Address |
1200 S Diamond Bar Blvd Suite #201 Diamond Bar CA 91765-2298 |
| Mailing Address |
P.o. Box 15807 Beverly Hills CA 90209 |
| Practice Telephone | 9098607600 |
| Practice Fax Number | 9098607460 |
| Mailing Telephone | 9098607600 |
| Mailing Fax Number | 9098607460 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | MRS. JOY FORTICH (BILLING MANAGER) |
| Authorized Official Telephone | 9098607600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G044761 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G044761 | CA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
G044761 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G044761 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | G044761 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 S DIAMOND BAR BLVD SUITE #201 |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841522299 | Sushma Bahl M.d., Inc. | General Practice | 1200 S Diamond Bar Blvd, Suite 108, Diamond Bar, CA 91765-2298 | 2010-02-10 |
| 1093972887 | Diamond Home Health Services, Inc | Home Health | 1200 S Diamond Bar Blvd, Suite 213, Diamond Bar, CA 91765-2298 | 2008-05-20 |
| 1205004983 | Yu Care Medical Group, Inc. | General Practice | 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765-2298 | 2008-02-14 |
| 1679753354 | Brandi M. Funk | Nurse Practitioner | 1200 S Diamond Bar Blvd, Suite 108, Diamond Bar, CA 91765-2298 | 2007-11-09 |
| 1104045434 | Lynn F. Y. Yamamoto | Marriage & Family Therapist | 1200 S Diamond Bar Blvd, Suite 216, Diamond Bar, CA 91765-2298 | 2007-04-25 |
| 1194868224 | Adel S Hanna | Psychiatry & Neurology | 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765-2298 | 2007-02-15 |
| 1720139207 | Advantage Health and Fitness | Physical Therapist | 1200 S Diamond Bar Blvd, Suite#108, Diamond Bar, CA 91765-2298 | 2007-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407883770 | California Dermatology Center | Dermatology | 23525 Golden Springs Dr, Diamond Bar, CA 91765-2175 | 2006-06-26 |
| 1598136384 | Diamond Bar Dermatology and Laser Center | Dermatology | 1111 Grand Ave, Suite K, Diamond Bar, CA 91765-4171 | 2015-10-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.