| NPI | 1578770426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE ABOOLIAN Owner 310-888-8862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A81347) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A81347) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-05-13 |