| NPI | 1871866715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED C MARRONE Owner 310-530-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CA G24447) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA G24447) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-10-31 |