| NPI | 1871297531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ENRIQUE SALCEDO Owner 951-268-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |