| NPI | 1437402054 |
|---|---|
| Former Legal Business Name | PLASTICARE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | IKONIJA SEKULOVICH JOY Director Plasticare Surgery Center 562-427-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 1386(AAAASF)) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA G25370) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |