| NPI | 1780669838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALDO A BALLECER Owner 559-432-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CA A34864) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A34864) |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CA A34864) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2015-01-17 |