| NPI | 1689711244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALICE ARMSTRONG Owner 949-706-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-10-30 |