| NPI | 1669754057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S SADATI President 760-946-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA 20A9343) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 20A9343) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |