| NPI | 1851607642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L LABOWE President 310-824-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G52484) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-02-21 |