| NPI | 1255459020 |
|---|---|
| Doing Business As | PLASTIC, RECONSTRUCTIVE & HAND SURGERY |
| Entity Type | Organization |
| Authorized Contact | DIANE MADELINE GRISEZ Administrator 805-489-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-03-05 |