| NPI | 1588911549 |
|---|---|
| Doing Business As | COASTAL DERMATOLOGY AND PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BART LUXENBERG Secretary/Treasurer 562-598-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |