| NPI | 1083801393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A. HODGE President 714-526-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A48399) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-02-05 |