| NPI | 1104118454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P. GRIFKA Director 310-775-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA 48648) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO H51510) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |