| NPI | 1851617278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU ASCARRUNZ Practice Administrator 925-875-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-02-08 |