| NPI | 1568868065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL DALAL President 661-942-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 130127) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-06-27 |