| NPI | 1003977083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALBERT KIM CHAFFOO President 858-623-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G54383) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-01-27 |