| NPI | 1174858153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D MABERRY President 213-995-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA a72562) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |