NPI | 1104548304 |
---|---|
Doing Business As | GOODYEAR DERMATOLOGY & SKIN CANCER |
Entity Type | Organization |
Authorized Contact | DANIEL TAHERI Owner 661-388-5240 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-09-14 |
Last Update Date | 2024-01-20 |