| NPI | 1457493710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHALEKSON President 805-434-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A77782) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-02-24 |