NPI | 1760544639 |
---|---|
Doing Business As | DERMATOLOGY INSTITUTE OF SOUTHERN CALIFORNIA |
Entity Type | Organization |
Authorized Contact | DANIEL BEHROOZAN President 310-392-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A76756) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A76756) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA A76756) | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2021-02-17 |