| NPI | 1710245634 |
|---|---|
| Doing Business As | SEASIDE DERMATOLOGY AND SKIN CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | HIEN THANH TRAN CEO 949-278-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A104847) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2021-03-24 |