| NPI | 1487707097 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MEHRAN KARIMPOUR Authorized Official/Office Admin 818-592-6005  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA a55703)  | 
| Enumeration Date | 2007-01-18 | 
| Last Update Date | 2023-06-30 |