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ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION NPI 1750852810


NPI Information

NPI: 1750852810
Provider Name: ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION
Classification: Otolaryngology - 207YP0228X
Entity Type: Organization

Specialization: Pediatric Otolaryngology

Address:
100 CASA ST STE B
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 439-3250
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ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION is a pediatric otolaryngology otolaryngology in San Luis Obispo, CA. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION NPI is 1750852810. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 CASA ST STE B
SAN LUIS OBISPO, CA
ZIP 93405-803
Phone: (805) 439-3250
Fax: (888) 359-6465

The provider's authorized official is David Jackson Levin .
The authorized official title is Ceo and has the following contact phone number (805) 439-3250.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/17/2018.


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
1207Y00000XOtolaryngologyNo
2207YS0012XOtolaryngologySleep MedicineNo
3207YS0123XOtolaryngologyFacial Plastic SurgeryNo
4207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
5207YX0602XOtolaryngologyOtolaryngic AllergyNo
6207YP0228XOtolaryngologyPediatric OtolaryngologyYes

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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