| NPI | 1639591407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO P HONRADO Owner 310-201-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A102560) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |