| NPI | 1154592368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARPAUL S SIDHU Owner 626-852-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A73248) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A73218) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2018-06-16 |