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El Segundo Dermatology, Inc.

Specialist in El Segundo, CA · enumerated 2015 · authorized official Brenda Fellman, Practice Manager.

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

National Provider Identifier

1619351707

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Registry record

Entity type Organization (Type 2)
Legal business name El Segundo Dermatology, Inc.
Other name <Unavail>
Practice address 713 N Douglas St., El Segundo, CA, 90245
Phone (310) 906-2788
Fax (310) 906-2786
Enumeration date Jul 17, 2015
Last updated in NPPES Aug 11, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Brenda Fellman
Title Practice Manager
Phone (310) 906-2788

Other identifiers

Identifier Type State Issuer
100120719 Medicaid CA -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-08-11. Verify at npiregistry.cms.hhs.gov.
Where is El Segundo Dermatology, Inc. located?
The practice location on file with NPPES is in El Segundo, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-11.