| NPI | 1811791882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTAR GOLDREICH Executive Assistant 818-981-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-02 |