| NPI | 1831343987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY GILLOGLY Billing Manager 949-645-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A83210) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2010-01-28 |