Organization · Type 2 NPI

Ent Surgical Specialists Inc.

Otolaryngology/Facial Plastic Surgery Physician · Los Angeles, CA

NPI number 1912371352 Active

Practice location

6424 W Olympic Blvd
Los Angeles, CA 90048-5347

Fax (310) 421-1880

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XA112498 (CA)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1912371352

Ent Surgical Specialists Inc.'s National Provider Identifier is 1912371352, issued on Nov 23, 2015. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 23, 2015.