| NPI | 1558603647 |
|---|---|
| Doing Business As | PARK FACIAL PLASTICS |
| Entity Type | Organization |
| Authorized Contact | ARIC PARK President 310-247-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A112280) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |