| NPI | 1740860014 |
|---|---|
| Doing Business As | "B" STREET PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MONEER JAIBAJI Medical Director 619-490-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |