| NPI | 1538259080 |
|---|---|
| Former Legal Business Name | PALOS VERDES PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A PETTI Owner 310-517-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-12-08 |