| NPI | 1992328801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PRENDERGAST Plastic Surgeon 949-688-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |