NPI 1083188221

Innovative Dermatology Alliance Ca

Organisation Dermatology Physician Visalia, CA

Practice location

Address: 5530 Avenida de Los Robles, Visalia, CA 93291
Phone: (559) 733-5050
Mailing address: 13921 W Grand Ave Bldg E, Surprise, AZ 85374-2439

Authorised official

Name: Christopher Ugochukwu Ugorji Rex
Title: Owner/Provider
Phone: (904) 994-4533

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in California →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1083188221
Entity type: Organization
NPI issued: 21 Jan 2019
Record last updated: 14 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.