Provider profile · NPI 1871697136

Accredited Dermatology Medical Clinic Inc

Dermatology · Fullerton, CA · NPI 1871697136 · 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

Sep 8, 2006

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILINGPO BOX 5859 Fullerton, CA 92838714-525-3500
LOCATION301 W BASTANCHURY ROAD SUITE 245Fullerton, CA 92835714-525-3500

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.