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ENT SURGICAL ASSOCIATES NPI 1336126820


NPI Information

NPI: 1336126820
Provider Name: ENT SURGICAL ASSOCIATES
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1505 WILSON TER
#270
GLENDALE, CA
ZIP 91206
Phone: (818) 241-2101
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ENT SURGICAL ASSOCIATES is an otolaryngology in Glendale, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENT SURGICAL ASSOCIATES NPI is 1336126820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 WILSON TER
#270
GLENDALE, CA
ZIP 91206-071
Phone: (818) 241-2101
Fax: (818) 241-2166

The provider's authorized official is Hrair A Koutnouyan .
The authorized official title is Partner and has the following contact phone number (818) 241-2101.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 3/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CJ8786OTHERCALIFORNIARAILROAD MEDICARE
2W14884BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3CJ8787OTHERCALIFORNIARAILROAD MEDICARE
4ZZZ56084ZOTHERCALIFORNIABLUE SHIELD
5GR0088300MEDICAIDCALIFORNIA
6ZZZ61447ZOTHERCALIFORNIABLUE SHIELD
7W14884MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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