ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION

SAN LUIS OBISPO, CA
NPI1750852810
Entity TypeOrganization
Authorized ContactDAVID JACKSON LEVIN
CEO
805-439-3250
Organization Subpart ?No
Primary Taxonomy207YP0228X Otolaryngology, Pediatric Otolaryngology
Additional Taxonomies207Y00000X Otolaryngology
207YS0012X Otolaryngology, Sleep Medicine
207YS0123X Otolaryngology, Facial Plastic Surgery
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
207YX0602X Otolaryngology, Otolaryngic Allergy
Enumeration Date2018-12-16
Last Update Date2018-12-17
Business Address
ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION
100 CASA ST STE B
SAN LUIS OBISPO, CA 93405-8803
Phone number: 805-439-3250
Mailing Address
ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION
100 CASA ST STE B
SAN LUIS OBISPO, CA 93405-8803
Phone number: 805-439-3250