| 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 | 2011-02-14 |