| NPI | 1871006031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEIL SAUL LAHIJANI Medical Director 310-550-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A103147) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A103147) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-06-16 |