| NPI | 1083450977 |
|---|---|
| Former Legal Business Name | SKIN SURGERY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GINA CARINI Practice Manager 858-292-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-08 |