| NPI | 1881049591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URMEN DESAI Owner/President 310-880-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 257350) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2016-05-01 |