| NPI | 1104837137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN KAORU AKAZAWA President 949-364-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A26740) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-09-16 |