| NPI | 1790896538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B ALLEN President 510-357-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G71411) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |