| NPI | 1528547999 |
|---|---|
| Doing Business As | DR. CONSTATINO MEDIETA |
| Entity Type | Organization |
| Authorized Contact | CONSTATINO MEDIETA Owner 310-529-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL 070055) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |