| NPI | 1063881605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LEHMAN Credentialing 951-215-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA G46300) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |