Registry details
Type
Individual
Primary specialty
Dermatology, Procedural Dermatology
Enumerated
Dec 15, 2006
License(s)
G65423A (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5757 WILSHIRE BLVD PROMENADE 2 | Los Angeles, CA 90036-5810 | 323-936-1245 |
| LOCATION | 5757 WILSHIRE BLVD PROMENADE 2 | Los Angeles, CA 90036-5810 | 323-936-1245 |
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