Integrated Dermatology and Dermatopathology, Inc.
NPI 1013136357ActiveOrganization· Dermatology, Procedural Dermatology· Newport Beach, CA
Dermatology, Procedural Dermatology in Newport Beach, California, registered in NPPES in April 2007. The authorized official on file is Kay Keeyeul Sung, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013136357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | A86806 | CA |
| Dermatology | 207N00000X | A86806 | CA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | A86806 | CA |
| Dermatology, Dermatopathology | 207ND0900X | A86806 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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