NPI | 1770720641 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER NEWMAN KEAGLE President 213-505-6012 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A64773) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2024-09-27 |