| NPI | 1922018977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL UDEN Practice Plan Administrator 323-442-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |