| NPI | 1083954226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LOUIS FITZGERALD President / CEO 323-464-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A49000) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |