| NPI | 1497946594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY B GRUNWALD President 310-828-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2011-06-23 |