| NPI | 1013475805 |
|---|---|
| Doing Business As | SKINWELL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | AVA KHOSRAVIANI President 949-412-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |