| NPI | 1144343310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ELLEN VANDERPLAS President 760-777-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A88507) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A88507) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-08-19 |