| NPI | 1073346789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYDER MUKADAM Medical Director 562-336-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 208D00000X General Practice | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |