| NPI | 1710687157 |
|---|---|
| Doing Business As | SOCAL SKIN AND SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNY ZHUOYUE WANG Dermatologist 240-246-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-07-04 |