| NPI | 1639587066 |
|---|---|
| Doing Business As | ALTA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA N. WANG Owner/Principal 949-364-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 110942) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-09-09 |