| NPI | 1598210361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ZELKEN President/Provider 949-432-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A137501) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |