| NPI | 1477953511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON J. MADORSKY President 949-719-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-12-04 |