| NPI | 1679609622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILIE J JAVAN Owner Physician 805-495-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G861010) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-09-01 |