| NPI | 1992851893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN R ALLISON President 714-633-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: CA G25063) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G25063) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G25063) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |