| NPI | 1346250016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES RISH President 310-625-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G27861) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G27861) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA G27861) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: CA G027861) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G27861) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-02-08 |