NPI 1811586134

Integrated Dermatology of Roseville, PC

Organisation Dermatology Physician Roseville, CA

Practice location

Address: 1412 Blue Oaks Blvd, Roseville, CA 95747-7143
Phone: (916) 784-7546
Fax: (916) 784-7548
Mailing address: 4700 Exchange CT STE 110, Boca Raton, FL 33431-4450

Authorised official

Name: Jennifer T Haley
Title: Authorized Group Official
Phone: (561) 314-2000

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in California →

Registry record

NPI: 1811586134
Entity type: Organization
NPI issued: 12 Jan 2021
Record last updated: 2 Jun 2021

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.