| NPI | 1356755730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT MATTHEW HIRSCH President 818-825-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A129834) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-07-27 |