| 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 |