Modern Dermatology, Inc.
NPI 1770386054 · Dermatology Physician · Long Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Dermatology, Inc. is a Dermatology Physician organization in Long Beach, CA (NPI 1770386054).
Provider details
- NPI number
- 1770386054
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Young Kwak, Ceo(678) 779-2241
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Frequently asked questions
- What is Modern Dermatology, Inc.'s NPI number?
- Modern Dermatology, Inc.'s National Provider Identifier (NPI) is 1770386054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dermatology, Inc.?
- Modern Dermatology, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Dermatology, Inc. located?
- Modern Dermatology, Inc.'s practice location on file with NPPES is 2921 Palo Verde Ave # 102, Long Beach, CA 90815-1552.
- What is Modern Dermatology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Modern Dermatology, Inc. is (678) 779-2241.
- Does Modern Dermatology, Inc. accept Medicare?
- Modern Dermatology, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Dermatology, Inc.?
- The authorized official listed on Modern Dermatology, Inc.'s NPPES record is Young Kwak, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dermatology, Inc.'s NPI active?
- Yes — Modern Dermatology, Inc.'s NPI (1770386054) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.