| NPI | 1285207852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ANDREW O'TOOLE Secretary 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-08-11 |