Provider profile · NPI 1720370166
Advanced Medical And Surgical Dermatology Corporation
Dermatology · San Rafael, CA · NPI 1720370166 · 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
May 4, 2011
License(s)
A65186 (CA), A65186 (CA), A65186 (CA), A65186 (CA), A65185 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1099 D ST STE 204 | San Rafael, CA 94901-2893 | 415-259-0131 |
| LOCATION | 1099 D ST STE 204 | San Rafael, CA 94901-2893 | 415-259-0131 |
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