| NPI | 1811608052 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BARON Authorized Official 714-547-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-03-26 |