NPI | 1568730885 |
---|---|
Doing Business As | NEWPORT COAST DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | GRACE LIU Owner 714-571-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A61446) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |