| NPI | 1912472135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PRENDERGAST President 805-279-0402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |