| NPI | 1740582444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN F. CASILLAS Office Manager 310-825-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A21438) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2011-06-28 |