| NPI | 1255982724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN VALDES COO 949-545-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 2085R0001X Radiology Radiation Oncology | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2025-08-13 |