| NPI | 1053787366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK YOUSEFF Owner 310-434-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |