| NPI | 1932910866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI ALLEY Director Credentialing 661-388-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ZD0900X Pathology, Dermatopathology | |
| 2085R0001X | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2026-08-13 |