| NPI | 1649698143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER N NEWEN Owner 714-230-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G79445) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |