| NPI | 1003449703 |
|---|---|
| Doing Business As | MODESTO DERMATOLOGY & SKIN CANCER |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAHERI Owner 310-922-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-01-20 |