NPI | 1780198358 |
---|---|
Doing Business As | DERMCONSULT |
Entity Type | Organization |
Authorized Contact | ELAN MORDECI NEWMAN Dermatologist/President 818-730-1629 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A100748) |
Enumeration Date | 2017-11-18 |
Last Update Date | 2019-01-07 |