| NPI | 1063293520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 208800000X Urology | |
| 2088P0231X Urology, Pediatric Urology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-17 |