| NPI | 1760766604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ABRAHAM ZOUMALAN Owner/President 310-893-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA 115735) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |