| NPI | 1083135065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S JUMAILY President 310-285-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A147007) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A147007) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |