| NPI | 1649397191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S. AMONIC President/Owner 310-829-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A21380) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-08-10 |