| NPI | 1730749748 |
|---|---|
| Other Name | CHARLOTTA LA VIA, M.D. |
| Entity Type | Organization |
| Authorized Contact | SHERYL SANTOS Delegated Official 310-592-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |