Organization
SKULL BASE SURGERY INSTITUTE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GHIAM MD (PRESIDENT)
(424) 355-0175
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1700, LOS ANGELES, CA 90067-2020
(424) 355-0175
(213) 672-5093
Mailing address
2080 CENTURY PARK E STE 1700, LOS ANGELES, CA 90067-2020
(424) 355-0175
(213) 672-5093
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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