| NPI | 1770993347 |
|---|---|
| Doing Business As | PHYSICIANS CHOICE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MEHDI FARSHAD DERAMBAKHSH President/Owner 310-218-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A88950) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A88950) |
| 207Q00000X Family Medicine (Licence: CA A88950) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |