| NPI | 1457539868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMUND J. LLAURADO President 805-922-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA C2511936) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA C2511936) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2009-05-11 |