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City South Dermatology Pllc

Dermatology Physician in Kent, WA · enumerated 2020 · authorized official Richard Lin, Governor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255946315

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Registry record

Entity type Organization (Type 2)
Legal business name City South Dermatology Pllc
Other name <Unavail>
Practice address 24604 104th Ave Se, Kent, WA, 98030
Phone (617) 412-1987
Enumeration date Sep 14, 2020
Last updated in NPPES Sep 18, 2020

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Richard Lin
Title Governor
Phone (617) 412-1987

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for City South Dermatology Pllc?
NPPES lists Richard Lin (Governor) as the authorized official for this organization.
What is the NPI number for City South Dermatology Pllc?
The NPI for City South Dermatology Pllc is 1255946315, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-18.