| NPI | 1922613207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL GABARAIN CEO 951-981-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-10-04 |