| NPI | 1154573202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A NORRIS Office Manager 925-831-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A060992) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-06-12 |