| NPI | 1225363690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA YOO Billing Manager 818-817-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2010-05-24 |