| NPI | 1538456215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE OBEREMOK President 951-658-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A86584) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A86584) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |