| NPI | 1275768004 |
|---|---|
| Former Legal Business Name | SKIN CANCER&RECONSTRUCTIVE SX SPECIALISTS OF VALENCIA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL OMIDI Owner 310-273-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |