| NPI | 1386350072 |
|---|---|
| Doing Business As | PLASTIC & RECONSTRUCTIVE SURGERY & LASER MEDICAL CENTER OF THE DESERT |
| Entity Type | Organization |
| Authorized Contact | MARK VINCENT SOFONIO Owner 760-341-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2025-05-06 |