NPI | 1659800217 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY DAVID HOEFFLIN CEO/Medical Director 310-273-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A74133) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A54235) |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA G68175) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-01-18 |