NPI | 1992019145 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY J LEE CEO 310-882-5656 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A89400) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2010-11-18 |