| NPI | 1881992550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT BRUCE LAVEY President 925-820-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G36751) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-06-08 |