| NPI | 1487753885 |
|---|---|
| Doing Business As | DERMALTOLOGY AND REJUVENATION MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | COMRON MALEKI President 805-496-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A36282) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A36282) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A36282) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A36282) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CO A36282) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |