| NPI | 1053778878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK RAJ DUGAR CEO 310-276-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CA 134847) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA 134847) |
| 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CA 134847) | |
| 207YS0012X Otolaryngology Sleep Medicine (Licence: CA 134847) | |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA 134847) | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CA 134847) | |
| 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: CA 134847) | |
| 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA 134847) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |