NPI | 1134491988 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS TAYLOR Owner 626-577-7730 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G66279) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |