| NPI | 1316127947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL P PUNJABI President 909-798-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G85143) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 38217) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A73833) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A73833) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G85143) | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: CA 38217) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2024-04-17 |