Preferred Dermatology Physician Assistant Corporation
Specialty details in registry · Lakeport, CA
At a glance
475 N Forbes St Ste B, Lakeport, CA 95453-4725
NPPES record updated Oct 2, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
475 N Forbes St Ste BLakeport, CA 95453-4725
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 363AM0700X
- Enumeration date
- Sep 4, 2026
- Record updated
- Oct 2, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
363AM0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
475 N Forbes St Ste BLakeport, CA 95453-4725
- Phone
- (707) 606-6366
Mailing address
40 CLEARLAKE AVELAKEPORT, CA 954533817
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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