| NPI | 1184987893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DIAMOND Owner 310-859-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A78700) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |