| NPI | 1861769069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LEE RANK President 949-836-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A73486) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A73486) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2018-05-07 |