| NPI | 1164620795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B. FRIEDMAN Owner 714-991-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G57885) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G57885) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA G57885) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA G57885) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G57885) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |