| NPI | 1215284385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M DAINES Owner 949-719-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A120244) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |