NPI | 1982032009 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAZ VALAIE President / Medical Director 949-225-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A113567) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |