| NPI | 1497182497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADALENE HENG Dermatologist 805-484-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |