| NPI | 1952628166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT NEAVIN President 310-858-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A99678) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2015-01-08 |