| NPI | 1306940465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA BABAPOUR Md Owner 310-247-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G77137) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G77137) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-03-10 |