| NPI | 1538678867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SHOHET President 949-631-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |