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 |