| NPI | 1124354592 |
|---|---|
| Doing Business As | ADVANCE LASER & COSMETIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY OMID ROHAM Physician 949-248-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA 29667) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |