| NPI | 1629387790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUN WATANABE President 949-859-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A29824) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |