| NPI | 1902907108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND RAJA BHUPATHY CEO/Owner/President 714-524-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20a6177) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-05-15 |