Organization
USC CARUSO DEPARTMENT, OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN BERTELSEN M.D. (RESIDENT PHYSICIAN)
(323) 226-7315
Entity
Organization
Contact information
Practice address
1983 MARENGO ST, LOS ANGELES, CA 90033-1370
(323) 409-5070
Mailing address
1540 ALCAZAR ST, SUITE 204M, LOS ANGELES, CA 90089-0080
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A138856
CA
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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