| NPI | 1275701419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAY BYRON DEAN Owner 310-860-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A96010) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2014-07-10 |