| NPI | 1144811597 |
|---|---|
| Doing Business As | SOUTH BAY PEDIATRIC OTOLARYNGOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROSE J EAPEN President 424-218-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |