| NPI | 1225226160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE S MOY CEO 310-546-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA g62367) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |