Modern Dermatology, Inc.
NPI 1770386054ActiveOrganization· Dermatology· Long Beach, CA
Dermatology in Long Beach, California, registered in NPPES in March 2025. The authorized official on file is Young Kwak, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770386054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2025 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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