| NPI | 1013119742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN LEAF Owner 310-274-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA G20174) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |