| NPI | 1659553691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOPOLDO G HERNANDEZ President/ Physician 323-261-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G39635) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |