| NPI | 1306438858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAR GUPTA President 951-313-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-08-30 |