| NPI | 1104341791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAMOUELIAN President 310-435-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A118986) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |