| NPI | 1275757403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN GARRETT Billing Manager 310-348-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA G44933) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |