| NPI | 1396849576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA PARYUS PATEL Owner 310-577-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G076981) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2022-12-16 |