| NPI | 1376769265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARAM YASHAR Mgr 562-590-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A86029) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A86029) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |