| NPI | 1578869772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R HESS Owner 619-299-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A104343) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |