| NPI | 1952562258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F SEDRAK President/CEO 909-796-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA a84538) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA a84538) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA a84538) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |