| NPI | 1316621493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPREET SINGH NANRA Owner 510-789-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-08-25 |