| NPI | 1609948843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F KELLEY Owner 949-645-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-11-03 |