| NPI | 1790937647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A DICESARE President 949-888-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A83696) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2009-09-30 |