| NPI | 1134588775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M HODNETT President 818-284-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA C51707) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |