| NPI | 1255361432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. GEORGE BRENNAN Owner 949-644-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA C27484) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |