| NPI | 1750650909 |
|---|---|
| Doing Business As | LA JOLLA PROFESSIONAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RALUAN G. SOLTERO Owner 858-457-8686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2012-01-09 |