| NPI | 1730826223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI REGENASS Owner 949-503-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 2086H0002X Surgery, Hospice and Palliative Medicine | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-02-14 |