| NPI | 1396421640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery |
| 2088P0231X Urology Pediatric Urology | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-30 |