NPI | 1316650047 |
---|---|
Doing Business As | CALIFORNIA DERMATOLOGY INSTITUTE |
Entity Type | Organization |
Authorized Contact | NAVID EZRA Owner 805-222-5803 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2022-12-27 |
Last Update Date | 2024-07-09 |