| NPI | 1235540196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARDS Owner 562-201-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA C3373665) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |