NPI | 1962979484 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE ROMAGNOLI Manager 310-801-6741 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2018-11-02 |
Last Update Date | 2019-03-05 |