| NPI | 1912212267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD GERALD LANG Owner 949-552-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G16058) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |