NPI | 1205061090 |
---|---|
Former Legal Business Name | RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA |
Entity Type | Organization |
Authorized Contact | MICHAEL OMIDI Owner 310-273-8849 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA a84519) |
Enumeration Date | 2009-05-21 |
Last Update Date | 2009-05-21 |