| NPI | 1669780748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BURKE Consultant/Biller 661-533-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA G17123) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |