| NPI | 1689912164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEONG President 805-870-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G081070) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |