Provider Demographics
NPI:1457100612
Name:FOCUS DERMATOPATHOLOGY, INC.
Entity type:Organization
Organization Name:FOCUS DERMATOPATHOLOGY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HADAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SKUPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:657-231-2127
Mailing Address - Street 1:2852 WALNUT AVE STE G
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-7033
Mailing Address - Country:US
Mailing Address - Phone:657-231-2127
Mailing Address - Fax:276-883-6167
Practice Address - Street 1:2852 WALNUT AVE STE G
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7033
Practice Address - Country:US
Practice Address - Phone:657-231-2127
Practice Address - Fax:276-883-6167
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty