| NPI | 1134355357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PUTNAM Partner 310-204-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A83674) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |