| NPI | 1275244378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMERON REZZADEH President 310-275-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |