| NPI | 1104063478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STUART GOLDBERG President 831-649-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G085126) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2010-10-15 |