NPI | 1710133954 |
---|---|
Entity Type | Organization |
Authorized Contact | BABAK AZIZZADEH CEO 310-657-2006 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA a64794) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |