| NPI | 1164549465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A MACDUFF President Physician 661-324-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA ZZZ84406Z) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA ZZZ84406Z) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA ZZZ84406Z) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-05-15 |