| NPI | 1255985594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAZAR SOFER Owner 310-447-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-05-20 |