| NPI | 1235530627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN AZIZ TALEI Director 310-288-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A126798) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |