| NPI | 1952444002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE HOPE STEWART President 805-687-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A43732) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A43732) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-03-23 |