| NPI | 1154586543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH NGOC O DANG Owner 925-251-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2011-12-16 |