| NPI | 1942709738 |
|---|---|
| Doing Business As | LA JOLLA DERMATOLOGY & LASER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AZADEH SHIRAZI Physician/President 619-309-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |