Registry details
Type
Individual
Primary specialty
Dermatology, Dermatopathology
Enumerated
May 28, 2009
License(s)
A124501 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 25200 LA PAZ RD STE 210 | Laguna Hills, CA 92653-5137 | 949-464-5770 |
| MAILING | 39 TOULON | Laguna Niguel, CA 92677-5430 | 949-394-3698 |
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