| NPI | 1255752796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANI L TAJIRIAN Owner/President 510-839-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A119900) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A119900) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A119900) | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |