| NPI | 1982774311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE R CORWIN President 805-494-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G29196) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-06-05 |