| NPI | 1154701829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDY ANN OLAYA Owner 714-564-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A104824) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2019-01-04 |