| NPI | 1114199163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER COSTANZO President 805-373-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA G46454) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2015-07-02 |