NPI | 1285961623 |
---|---|
Doing Business As | PACIFIC DERMATOLOGY & COSMETIC LASER CENTER |
Entity Type | Organization |
Authorized Contact | DOUGLAS MICHAEL KEEL President 858-535-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 20A7081) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2022-10-06 |