| NPI | 1700860871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS BORTZ Owner/Medical Director 925-932-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2023-03-07 |