| NPI | 1659698181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK YOUSSEF Direct/ Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A77473) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |