| NPI | 1861979288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA GROYSMAN Administrator 310-385-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |