| NPI | 1689027310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON LEE Owner 626-232-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A138353) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-07-22 |