Organization · Type 2 NPI
East Los Angeles Ent Medical Center
Otolaryngology/Facial Plastic Surgery Physician · San Gabriel, CA
NPI number
1386750198
Active
Practice location
533 W Las Tunas Dr # 202
San Gabriel, CA 91776-1133
Fax (626) 284-4300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | A83484 (CA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Another provider at this address
About NPI 1386750198
East Los Angeles Ent Medical Center's National Provider Identifier is 1386750198, issued on Aug 22, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in San Gabriel, CA. The record was last updated on Oct 14, 2025.