| NPI | 1235501636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN BERTELSEN Resident Physician 323-226-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA A138856) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |