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Advanced Institute of Dermatology, Inc

NPI 1184919011ActiveOrganization· Dermatology· Palm Desert, CA

Dermatology in Palm Desert, California, registered in NPPES in June 2011. The authorized official on file is Maryam Sickinger, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1184919011
StatusActive
Entity typeOrganization
NPI issuedJun 20, 2011
Last updated in NPPESMay 27, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X20A10108CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

Other Dermatology providers in Palm Desert

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