| NPI | 1215020292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA J LEE-TALL President 310-375-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA A61349) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-04-03 |