| NPI | 1013136357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY KEEYEUL SUNG President 949-722-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A86806) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A86806) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A86806) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A86806) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |