| NPI | 1619351707 |
|---|---|
| Doing Business As | GARDENA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BRENDA FELLMAN Practice Manager 310-906-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-08-11 |