NPI | 1467579995 |
---|---|
Doing Business As | NATURAL IMAGE COSMETIC SURGERY AND LASER DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | LENORE SIKORSKI Medical Director 949-488-0487 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA F631919) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |