| NPI | 1437232444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GERRIT WANDEL President/CEO 619-301-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA g52862) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |