| NPI | 1326665415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-651-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 207YS0012X | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 208600000X Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |