| NPI | 1174681720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL AMMAR President 661-267-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A92792) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A92792) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |