Provider Demographics
NPI:1477303824
Name:H DERMATOLOGY
Entity Type:Organization
Organization Name:H DERMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-246-6222
Mailing Address - Street 1:11900 SOUTH ST STE 118
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-6800
Mailing Address - Country:US
Mailing Address - Phone:562-246-6222
Mailing Address - Fax:786-841-1753
Practice Address - Street 1:11900 SOUTH ST STE 118
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-6800
Practice Address - Country:US
Practice Address - Phone:562-246-6222
Practice Address - Fax:786-841-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty