| 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 |