| NPI | 1255845657 |
|---|---|
| Doing Business As | KELLY BICKLE, MD |
| Entity Type | Organization |
| Authorized Contact | KELLY BICKLE Owner 310-878-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A95166) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |