| NPI | 1033587589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CHUNG President/Director 858-461-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A136426) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2017-02-21 |