| NPI | 1164646030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCISCO DIAZ President 310-770-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A91692) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-10-29 |