| NPI | 1154990620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-10-30 |