NPI 1083687776

Roland Spurgeon Beverly, MD

Practitioner Dermatology Physician Aliso Viejo, CA

Practice location

Address: 24541 Pacific Park Dr Suite 103, Aliso Viejo, CA 92656-3065
Phone: (949) 831-3057
Fax: (949) 831-2515

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence G65658 (CA)

Other Dermatology providers in California →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence G65658 (CA)

Registry record

NPI: 1083687776
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2006
Record last updated: 10 May 2017

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.