| NPI | 1629003256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ARDEN BROTMAN President, Secretary, C.F.O 909-393-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G69097) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-08-20 |