| NPI | 1710389838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA A COSTA President 408-559-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A103870) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |