INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. – NPI #1013136357
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. is a dermatologist located in NEWPORT BEACH, CA. NPPES has assigned the NPI number 1013136357 to INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. on April 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. below.

NPI Profile for
INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.

NPI Number
1013136357
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.
Primary location
1525 SUPERIOR AVE
SUITE 210
NEWPORT BEACH, CA 92663-3639
Phone: (949) 722-3555 Fax: (949) 722-3512
Mailing address
11902 CANDOR ST
CERRITOS, CA 90703-6907
Phone: (562) 714-5849 Fax:
Organization Subpart
No
Authorized Official
KAY SUNG
PRESIDENT
Phone: (949) 722-3555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 CA A86806
207ND0900X
- Dermatology / Dermatopathology		 CA A86806
207ND0101X
- Dermatology / MOHS-Micrographic Surgery		 CA A86806
207N00000X
- Dermatology		 CA A86806

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.