NPI | 1982803821 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN CHEN Owner 858-552-8096 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A79823) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A79823) |
207ND0900X Dermatology, Dermatopathology (Licence: CA A79823) | |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: CA A79823) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA A79823) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A79823) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-07-12 |