| NPI | 1053491142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALBERT WALDEN Owner/Physician 949-645-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G27498) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-11-10 |