NPI | 1760097984 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN A POLIAKIN Owner 805-497-8820 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-15 |