Organization
SKULL BASE MEDICAL GROUP, INC
Active
Other names
Skull Base Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARA KAREN CHAHINIAN (BUSINESS COORDINATOR)
(818) 783-1989
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 1170W, LOS ANGELES, CA 90048-6101
(310) 691-8888
(310) 691-8877
Mailing address
8635 W 3RD ST, SUITE 1170W, LOS ANGELES, CA 90048-6101
(310) 691-8888
(310) 691-8877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
02/02/2009
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