| NPI | 1508566035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A J ROGERS CEO 909-226-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-04-14 |