| NPI | 1699265868 |
|---|---|
| Doing Business As | EXCEPTIONAL DERMATOLOGY CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID SIRE Medical Director 714-882-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-07-16 |