| NPI | 1821291923 |
|---|---|
| Other Name | RENAISSANCE COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RAY HENDERSON Medical Director 760-346-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C24144) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-11-28 |