NPI | 1134983901 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIVA REBECCA GOLSHANI Consultant 310-367-6763 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |