| NPI | 1851429203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. BRAY Owner 310-378-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A94531) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-02-13 |