NPI | 1952497414 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK HOROWITZ Owner 310-373-2636 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A7642) |
Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: CA 20A7642) |
207ND0900X Dermatology, Dermatopathology (Licence: CA 20A7642) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA 20A7642) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: CA 20A7642) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA 20A7642) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2011-05-23 |