| NPI | 1518685650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER R ROWLAND Credentialing Lead 818-356-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |