| NPI | 1659385904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY MARSHAK Owner 310-471-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G57467) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G57467) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-06-28 |