| NPI | 1639979602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN E BEHNAM Director 310-315-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 208600000X Surgery | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |