ADVANCED AESTHETIC DERMATOLOGY
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1568527893- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 14651 SO BASCOM AVE 200, LOS GATOS, CA, 95032
- Phone
- (408) 358-5757
- Fax
- (408) 358-8951
Specialties & Taxonomies
Dermatology
Primary License: CA #G50914