Dermatology
FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1477729291 · enumerated 2008-05-01 · record updated 2008-06-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ABDALLAH KHOURDAJI MD, president · (209) 333-6110
Other names: ABDALLAH KHOURDAJI
Addresses and phones
- Mailing address 801 S HAM LN STE A, LODI, CA, 95242-7502 (209) 333-6110 Fax (209) 333-0724 Google Maps Apple Maps OpenStreetMap
- Practice location 801 S HAM LN STE A, LODI, CA, 95242-7502 (209) 333-6110 Fax (209) 333-0724 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 00A341430 CA
In this directory
Locations and evidence
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Practice location
LODI, CA, 952427502
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.