NPI | 1194750661 |
---|---|
Doing Business As | SPECTRUM DERMATOLOGY AND ASSOCIATES |
Entity Type | Organization |
Authorized Contact | JACOB S. LO President 831-372-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A46142) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2009-05-22 |