| NPI | 1922052133 |
|---|---|
| Former Legal Business Name | COSMOPOLITAN PLASTIC AND RECONSTRUCTIVE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL OMIDI CEO 310-308-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |