| NPI | 1154750040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SHOHET Chief Executive Officer 949-631-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CA G83612) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 5099) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-10-15 |