NPI | 1235425737 |
---|---|
Entity Type | Organization |
Authorized Contact | TARICK SMAILI Owner 714-482-2529 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA a75774) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a30971) |
208200000X Plastic Surgery (Licence: CA a94269) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-07-19 |