| NPI | 1295965440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE SMITH CEO/Principal 949-642-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A84857) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2014-01-07 |