| NPI | 1568527893 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | PATRICK HENRY BITTER Medical Director 408-358-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G50914) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-01-06 |