| NPI | 1851550974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN SCOTT LINE President 818-763-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G48150) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: CA G48150) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |