| NPI | 1245252105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARDY TSE President 760-633-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G82156) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G82156) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2011-03-18 |