| NPI | 1295059020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ASZTERBAUM Sole Provider 949-525-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G81356) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2024-01-25 |