| NPI | 1174927073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DENISE KILCLINE M.D./Owner 805-544-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A72400) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A72400) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2025-07-15 |