| NPI | 1982615902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN S MOWLAVI CEO 949-499-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A85870A) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-12-11 |