NPI | 1235333493 |
---|---|
Doing Business As | MANHATTAN BEACH DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | SCOTT C. RACKETT Owner 310-802-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G83929) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2015-06-08 |