| NPI | 1316008147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R CRAIN Physician Owner 510-452-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C031924) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA C031924) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |