| NPI | 1679048375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID HOEFFLIN Medical Director 310-998-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-01-18 |