| NPI | 1396921797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL RAMEN DEV Owner 661-327-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A63639) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-06-12 |