| NPI | 1023112315 |
|---|---|
| Doing Business As | SANTA MONICA DERMATOLOGY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LAUREN L REAGER Owner Physician 310-829-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2010-06-15 |