| NPI | 1932784949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A ARMSTRONG Owner 949-706-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |