| NPI | 1265758262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GARCIA Biller 562-698-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G034207) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G034207) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA G034207) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2012-08-09 |