| NPI | 1962581074 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | LISA MILLER Patient Accounts Manager 760-787-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-04-27 |