| NPI | 1336437904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL SANTOS Financial Administrator 310-829-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A062706) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-08-29 |