| NPI | 1043323801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E GORMLEY Owner /President 626-335-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2010-09-30 |