| NPI | 1740471259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE A MAC DONALD President 818-906-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G16852) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2011-05-02 |