| NPI | 1912649096 |
|---|---|
| Doing Business As | CALIFORNIA CENTER FOR DERMATOLOGIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | EKAMA CARLSON Owner 415-226-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2022-04-10 |