| NPI | 1447296363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIZABETH LECHI TRUONG President 858-452-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A68200) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A65177) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |