| NPI | 1801011622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MUELLER President 310-273-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A49185) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |