| NPI | 1134491749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON BRADLEY STRAWN CEO 949-706-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A97411) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |