Skin Cancer&reconstructive Sx Specialists of Valencia

NPI #1275768004 in Beverly Hills, California

Provider Information

NPI Number: 1275768004
Entity Type: Organization
Organization Name: Skin Cancer&reconstructive Sx Specialists of Valencia
Primary Specialty: Specialist
Enumeration Date: May 22, 2009
Last Updated: May 22, 2009

Practice Location

Address: 9001 WILSHIRE BLVD
Address 2: 106
City: Beverly Hills
State: California
ZIP Code: 90211-1838
Phone: (310) 273-8849

Authorized Official

Name: MICHAEL OMIDI, MD
Title: OWNER
Phone: (310) 273-8849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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