NPI | 1093994212 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY L SEBASTIAN President 310-917-4433 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A060390) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2023-08-31 |