| NPI | 1053696484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M KINNEY President 310-858-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G51775) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA G51775) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |