| NPI | 1083833727 |
|---|---|
| Doing Business As | CENTER FOR COSMETIC EYELID & LASER SURGERY |
| Entity Type | Organization |
| Authorized Contact | KELLI L ORTIZ Office Manager 916-929-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA G32698) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-07-18 |