| NPI | 1720110968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DABBS Office Manager 858-278-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A78569) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A78569) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A78569) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-07-20 |