| NPI | 1952504805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER A KYLE President 310-370-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A82489) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |