| NPI | 1386022366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR SALAZAR-REYES President 619-425-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A113560) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |