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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.

Active Organization

QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC. is a Specialist organization located in STOCKTON, California. NPI 1275536872 is currently active in the NPPES registry. Verify at CMS.

Specialist · STOCKTON, CA

Registration Details

NPI Number
1275536872
Provider Type
Organization
NPI Issued
May 27, 2005 (21.205978035998 yrs)
Last Updated
Aug 22, 2020
License
A068815 (CA)

Practice Information

Address
4553 QUAIL LAKES DR
STOCKTON, CA, 952075257
Browse CA providers · Browse ZIP 95207
Phone
2099511133
Fax
2099514708
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.