| NPI | 1003364712 |
|---|---|
| Former Legal Business Name | HODGES DERMATOLOGY, LLC |
| Entity Type | Organization |
| Authorized Contact | LEISA LACOMBE HODGES Dermatologist 626-215-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q3692) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |