| NPI | 1184931347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JENNIFER DEREBERY Vice President 213-483-9930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |