Organization · Type 2 NPI
Elite E.n.t. & Plastic Surgery Medical Center, Inc.
Otolaryngology/Facial Plastic Surgery Physician · Garden Grove, CA
NPI number
1083864490
Active
Practice location
13132 Magnolia St
Garden Grove, CA 92844-1326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 20A 7627 (CA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1083864490
Elite E.n.t. & Plastic Surgery Medical Center, Inc.'s National Provider Identifier is 1083864490, issued on Sep 22, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Garden Grove, CA. The record was last updated on Sep 22, 2008.