| NPI | 1396400230 |
|---|---|
| Doing Business As | SUBLIME MD |
| Entity Type | Organization |
| Authorized Contact | RONNIE NATHAN DAWOOD President 949-367-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-01-27 |