| NPI | 1649745274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JETT KNIGHT Office Director 714-558-9800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |