| NPI | 1265625933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BANG CEO/Physician 310-360-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A60220) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A60220) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A60220) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A60220) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |