| NPI | 1982796389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY EDWARD FEIBLEMAN President 562-595-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G40658) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA G40658) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-03-10 |