| NPI | 1588935894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LEWIN President 310-291-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A72249) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |