| NPI | 1104665744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBAIDA BATAL Medical Director/President 310-714-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-31 |