| NPI | 1508233974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON Y GOLDSTEIN President & CEO 949-289-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA GO79669) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |