NPI | 1164835518 |
---|---|
Entity Type | Organization |
Authorized Contact | LAILA ELKEEB President 949-836-1605 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
207NP0225X Dermatology, Pediatric Dermatology | |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2015-04-20 |