| NPI | 1548985740 |
|---|---|
| Doing Business As | BOUTIK DERMATOLOGY BY OBIOHAMD |
| Entity Type | Organization |
| Authorized Contact | JASMINE ONYEKA BOWERS OBIOHA Practice Owner 323-217-4967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-12-06 |