| NPI | 1558693424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MOY Medical Director 310-274-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G48489) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-08-17 |