| NPI | 1235407685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY MANSFIELD Owner 619-229-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: CA FNP41747) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |