| NPI | 1548662992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J NYKIEL President 909-291-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A120256) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2021-02-18 |