NPI | 1023433836 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN BRENNER President 310-777-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A79032) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A79032) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2015-01-06 |