NPI | 1982354577 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY LEWIS Medical Director 951-363-0243 |
Organization Subpart ? | No |
Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
Enumeration Date | 2022-03-25 |
Last Update Date | 2022-03-25 |