| NPI | 1124230073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL B. BECK President 650-570-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A65079) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |