| 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 |