| NPI | 1932547882 | 
|---|---|
| Doing Business As | VERDUGO DERMATOLOGY | 
| Entity Type | Organization | 
| Authorized Contact | THOMAS T SU President 310-528-5199  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A94221)  | 
| Enumeration Date | 2013-06-12 | 
| Last Update Date | 2013-06-12 |