NPI | 1861835357 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY MARSHAK Medical Doctor 310-657-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G057467) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G057467) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2013-04-15 |