CORONA DERMATOLOGY CENTER INC. (NPI# 1790890085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790890085 |
| Entity Type | Organization |
| Organization Name | CORONA DERMATOLOGY CENTER INC. |
| Practice Address |
1810 Fullerton Ave Ste 101 Corona CA 92881-3103 |
| Mailing Address |
Po Box 15807 Beverly Hills CA 90209-1807 |
| Practice Telephone | 9517347900 |
| Practice Fax Number | 9098602757 |
| Mailing Telephone | 9098607600 |
| Mailing Fax Number | 9098602757 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-01-13 |
| 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 | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G044761 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
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 |
1810 FULLERTON AVE STE 101 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508825381 | Khuram A. Sial | Physical Medicine & Rehabilitation | 1810 Fullerton Ave, Suite 104, Corona, CA 92881-3103 | 2006-03-21 |
| 1972961803 | United Surgery of America | Internal Medicine | 1810 Fullerton Ave, Suite #103, Corona, CA 92881-3103 | 2016-02-06 |
| 1568857274 | Nurturing You Women's Health & Wellness, Inc. | Clinic/Center | 1810 Fullerton Ave, Suite 203, Corona, CA 92881-3103 | 2015-03-30 |
| 1821426305 | American Spine PC | Pain Medicine | 1810 Fullerton Ave, Suite #104, Corona, CA 92881-3103 | 2013-10-21 |
| 1992141469 | Fred M Watkins Md PC | Family Medicine | 1810 Fullerton Ave, Suite #104, Corona, CA 92881-3103 | 2013-05-10 |
| 1376987552 | Inland Empire Anesthesia Services PC | Anesthesiology | 1810 Fullerton Ave, #104, Corona, CA 92881-3103 | 2013-04-18 |
| 1336492586 | Brett P. Bowman Od., Professional Optometry Corporation | Optometrist | 1810 Fullerton Ave, Suite 201, Corona, CA 92881-3103 | 2012-10-24 |
| 1871841692 | Mmj Medical Inc | Internal Medicine | 1810 Fullerton Ave, Suite 203, Corona, CA 92881 | 2012-08-28 |
| 1760740674 | Corona Pain Management Center | Clinic/Center | 1810 Fullerton Ave, Suite 103, Corona, CA 92881-3103 | 2012-04-27 |
| 1831490580 | Jun Yuan, M.d., Inc. | Internal Medicine | 1810 Fullerton Ave, Suite 102, Corona, CA 92881-3103 | 2010-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
|---|---|---|---|---|
| 1972990653 | Magnolia Dermatology Inc | Dermatology | 770 Magnolia Ave, Suite 2g, Corona, CA 92879-3120 | 2015-04-21 |
| 1275589723 | Babak Roshdieh | Dermatology | 770 Magnolia Ave, Suite 2g, Corona, CA 92879-3120 | 2006-05-26 |
| 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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| 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.