| NPI | 1881779916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GLEN BERMAN Md 310-278-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-05-20 |