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 |