| NPI | 1366598617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE VAN SUCH Office Manager 858-458-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA C39780) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |