| NPI | 1003048406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FAVALE Administrator 805-581-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |