| NPI | 1366334310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FREESEMANN CEO 714-879-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |