NPI | 1760174882 |
---|---|
Doing Business As | IRVINE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MARJON VATANCHI Chief Medical Officer 949-800-8551 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2023-05-25 |
Last Update Date | 2024-01-28 |