| NPI | 1851929103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA MOTAKEF Medical Director 714-941-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-01-12 |