Organization
LAMORINDA ENT FACE & NECK SURGERY INC
Active
Parent organization
LAMORINDA ENT FACE & NECK SURGERY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAMORINDA ENT FACE & NECK SURGERY INC
Authorized official
DR. SASSAN FALSAFI MD (OTOLARYNGOLOGIST)
(925) 299-9919
Entity
Organization
Contact information
Practice address
911 MORAGA ROAD, SUITE 102, LAFAYETTE, CA 94549-4591
(925) 299-9919
(925) 299-9924
Mailing address
911 MORAGA ROAD, SUITE 102, LAFAYETTE, CA 94549
(925) 299-9919
(925) 299-9924
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A85934
CA
Other
Enumeration date
11/07/2007
Last updated
01/23/2012
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