| NPI | 1356668115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S NEAVIN Medical Director 310-560-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A99678) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |