# ENT SURGICAL SPECIALISTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ENT SURGICAL SPECIALISTS INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912371352
- **Authorized official:** NEDA NAZARIAN (DIRECTOR OF OPERATION)
- **Authorized official phone:** (310) 772-2866

## Contact information

- **Practice address:** 6424 W OLYMPIC BLVD, LOS ANGELES, CA 90048-5347
- **Practice address phone:** (310) 772-2866
- **Practice address fax:** (310) 421-1880
- **Mailing address:** 6424 W OLYMPIC BLVD, LOS ANGELES, CA 90048-5347
- **Mailing address phone:** (310) 772-2866
- **Mailing address fax:** (310) 421-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | A112498 | CA | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 11/23/2015