| NPI | 1710398953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES SUNDINE President 949-706-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G66233) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA G66233) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |