| NPI | 1700138906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO A. MARCOS Medical Director 818-894-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G38005) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |