Organization
ENT SURGICAL SPECIALISTS INC.
Active
Other names
ENT SURGICAL SPECIALISTS INC.
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA NAZARIAN (DIRECTOR OF OPERATION)
(310) 772-2866
Entity
Organization
Contact information
Practice address
6424 W OLYMPIC BLVD, LOS ANGELES, CA 90048-5347
(310) 772-2866
(310) 421-1880
Mailing address
6424 W OLYMPIC BLVD, LOS ANGELES, CA 90048-5347
(310) 772-2866
(310) 421-1880
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A112498
CA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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