| NPI | 1164021598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BUTORA Billing Manager 562-787-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-18 |