| NPI | 1083313589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH S. MIYAMOTO President 562-789-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-02-07 |