Organization · Type 2 NPI

Universal Diagnostic Medical Group, Inc.

Otology & Neurotology Physician · Los Angeles, CA

NPI number 1033399498 Active

Practice location

4322 Wilshire Blvd, Ste 303
Los Angeles, CA 90010-3793

Fax (206) 202-4724

Mailing address

11901 Santa Monica Blvd, 468
Los Angeles, CA 90025-2767

Specialties and licenses

TaxonomyCodeLicense
Otology & Neurotology Physician Primary 207YX0901XG29768 (CA)

Otology & Neurotology Physician: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

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About NPI 1033399498

Universal Diagnostic Medical Group, Inc.'s National Provider Identifier is 1033399498, issued on Nov 13, 2007. The primary taxonomy on file is Otology & Neurotology Physician (207YX0901X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 14, 2007.