| NPI | 1104022821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DALE RAWNSLEY President 310-433-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA g78843) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2025-09-23 |