| NPI | 1750610374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SIGMAN Credentialing Manager 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA C29173) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |