| NPI | 1528246196 |
|---|---|
| Former Legal Business Name | LASER INSTITUTE FOR DERMATOLOGY & EUROPEAN SKIN CARE |
| Entity Type | Organization |
| Authorized Contact | AVA T SHAMBAN Physician/Owner 310-828-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2010-10-13 |