| NPI | 1114112711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D CHALET Owner 310-202-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: CA G38996) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |