# ELITE E.N.T. & PLASTIC SURGERY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083864490
- **Authorized official:** ANTHONY DINH (PRESIDENT)
- **Authorized official phone:** (714) 590-8900

## Contact information

- **Practice address:** 13132 MAGNOLIA ST, GARDEN GROVE, CA 92844-1326
- **Practice address phone:** (714) 590-8900
- **Mailing address:** 13132 MAGNOLIA ST, GARDEN GROVE, CA 92844-1326
- **Mailing address phone:** (714) 590-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 20A 7627 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2008
- **Last updated:** 09/22/2008