NPI | 1356464739 |
---|---|
Entity Type | Organization |
Authorized Contact | GRAHAM KEMSLEY President 949-450-2755 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A42139) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |