| NPI | 1427170984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI FARSHAD DERAMBAKHSH President 818-528-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A88950) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |