| NPI | 1295290567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DENISE KILCLINE Owner 805-544-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2025-07-24 |