| NPI | 1932598364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KOSINS President 949-721-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A107134) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |