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 |