| NPI | 1922144450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TAHERI CEO 661-388-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-12-01 |