| NPI | 1407992217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P TAHERI CEO 661-388-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207ZD0900X Pathology, Dermatopathology | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-01-19 |