| NPI | 1548659170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY F WILSON President 213-742-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G18778) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |