Provider profile · NPI 1154407856
Advanced Dermatology Surgical And Medical Group Inc.
Dermatology · Lakewood, CA · NPI 1154407856 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
Oct 27, 2006
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3650 E SOUTH ST #306 | Lakewood, CA 90712 | 562-633-6353 |
| MAILING | 3650 E SOUTH ST #306 | Lakewood, CA 90712 | 562-633-6353 |
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