| NPI | 1508125592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESRAFIL ABEDI CEO 949-470-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A30818) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |