NPI | 1700557899 |
---|---|
Entity Type | Organization |
Authorized Contact | TAYLOR POLLEI CEO / Owner 949-998-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
207YS0123X Otolaryngology, Facial Plastic Surgery | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2023-04-26 |