| NPI | 1669542080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D SUSKI President 805-494-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G76464) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-11-24 |