| NPI | 1942443205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY LLOYD HEINRICHS Owner 949-640-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G16900) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G16900) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2012-09-07 |