| NPI | 1073630562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON ROBERT MCDONALD President 760-436-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C32355) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-12-19 |