| NPI | 1306384680 |
|---|---|
| Doing Business As | IDEAL FACE AND BODY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN YOVINO President 310-887-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A119057) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |