| NPI | 1790475010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0120X Surgery, Pediatric Surgery | |
| 208800000X Urology | |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-16 |