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Dehesa Dermatology INC

Dermatology in Clovis, CA. Organization (NPI-2).

NPI number1194518977
StatusActive
Last updated in NPPESFeb 24, 2026

Details

NPI
1194518977
Entity type
Organization (NPI-2)
Legal business name
Dehesa Dermatology INC
Organization subpart
No
Enumeration date
May 26, 2025
Certification date
Feb 24, 2026
Last updated
Feb 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes
261QM1300X Clinic/Center, Multi-Specialty––
207RR0500X Internal Medicine, Rheumatology––
207ND0101X Dermatology, MOHS-Micrographic Surgery––

Practice location

978 N Temperance Ave
Clovis, CA 93611-8606

Phone 559-951-9000 · Fax 559-234-6334

Mailing address

978 N Temperance Ave
Clovis, CA 93611-8606

Phone 559-951-9000 · Fax 559-234-6334

Authorized official

Luis Alberto Dehesa
Dermatologist
5599519000

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