| 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 |