| NPI | 1316136997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L PERTSCH President 650-342-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G626770) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |