| NPI | 1699003731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HOEFFLIN Sole Owner 310-858-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A74133) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |