NPI | 1083239727 |
---|---|
Doing Business As | CAMARILLO DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | LARISSA NADIA LARSEN Owner 805-807-2367 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2020-06-09 |
Last Update Date | 2023-11-27 |