| NPI | 1508164500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA MAHER President 714-390-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 20A10086) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |