Organization
PALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE CHANTAL TRINQUE COURCHESNE MD (OWNER)
(310) 459-0800
Entity
Organization
Contact information
Practice address
984 MONUMENT ST STE 203, PACIFIC PALISADES, CA 90272-3859
(310) 459-0800
Mailing address
984 MONUMENT ST STE 203, PACIFIC PALISADES, CA 90272-3859
(310) 459-0800
(310) 459-4326
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
06/11/2020
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