| NPI | 1558502690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITU BATRA Md 310-829-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A75794) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A75794) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A75794) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-10-15 |