| NPI | 1265920672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ORNITZ COHEN Office Manager 310-659-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A56223) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |