| NPI | 1760902522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S CARMONA Chief Operation Officer 818-348-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: CA G81757) |
| Additional Taxonomies | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: CA G871757) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-03-13 |