| NPI | 1265705925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MOTYKIE Owner/Physician 310-246-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A87356) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |