| NPI | 1902837735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRASOL PINEDA Billing Manager 818-906-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A77571) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-10-17 |