San Diego Skin, Inc.
NPI #1972831998 in La Jolla, California
Provider Information
- NPI Number
- 1972831998
- Entity Type
- Organization
- Organization Name
- San Diego Skin, Inc.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 2, 2009
- Last Updated
- Dec 2, 2009
Practice Location
- Address
- 4150 REGENTS PARK ROW
- Address 2
- SUITE 300
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-9124
- Phone
- (858) 909-9000
Authorized Official
- Name
- M. MARK MOFID, M.D.
- Title
- PRESIDENT
- Phone
- (858) 909-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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