| 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 |