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ENT SURGICAL SPECIALISTS INC. NPI 1912371352


NPI Information

NPI: 1912371352
Provider Name: ENT SURGICAL SPECIALISTS INC.

Former Legal Business Name: ENT SURGICAL SPECIALISTS INC.

Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
6424 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90048
Phone: (310) 772-2866
Get Directions

ENT SURGICAL SPECIALISTS INC. is an otolaryngology/facial plastic surgery otolaryngology in Los Angeles, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. ENT SURGICAL SPECIALISTS INC. NPI is 1912371352. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ent Surgical Specialists Inc..

The provider's business location address is:

6424 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90048-347
Phone: (310) 772-2866
Fax: (310) 421-1880

The provider's authorized official is Neda Nazarian .
The authorized official title is Director Of Operation and has the following contact phone number (310) 772-2866.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 11/23/2015.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryA112498CALIFORNIAYes

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
1EY591AMEDICARE PINCALIFORNIA

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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