| NPI | 1962260208 |
|---|---|
| Doing Business As | DERM LOUNGE |
| Entity Type | Organization |
| Authorized Contact | FARAH AWADALLA Medical Director 714-337-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-27 |