EAST LOS ANGELES ENT MEDICAL CENTER NPI 1386750198

NPI Information

EAST LOS ANGELES ENT MEDICAL CENTER is an otolaryngology/facial plastic surgery otolaryngology in San Gabriel, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAST LOS ANGELES ENT MEDICAL CENTER NPI is 1386750198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

416 W LAS TUNAS DR
#105
SAN GABRIEL, CA
ZIP 91776-236
Phone: (626) 284-2000
Fax: (626) 284-4300

The provider's authorized official is Shounan Yao .
The authorized official title is President and has the following contact phone number (626) 284-2000.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 10/17/2008.

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:

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