| NPI | 1164389383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY PHAM Owner 858-282-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |