| NPI | 1396046454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MARIE BREISTER GHOSH Physician & Surgeon/President 619-286-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A55510) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |