| NPI | 1114220308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C CIANO Medical Director 805-497-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G35437) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |