| NPI | 1346488962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD O RIGOR Owner 626-844-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2019-03-06 |