| NPI | 1669713970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYMAN JOSEPH DANIELPOUR Co Owner 310-275-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA a106786) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |