| NPI | 1386629905 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BARON Owner 714-547-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-01-29 |