FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1326665415- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4646 BROCKTON AVE STE 103, RIVERSIDE, CA, 925060103
- Phone
- (909) 558-3111
Specialties & Taxonomies
Otolaryngology, Otolaryngic Allergy
Otolaryngology, Otology & Neurotology
Otolaryngology, Otolaryngology/Facial Plastic Surgery
Otolaryngology, Sleep Medicine
Otolaryngology, Facial Plastic Surgery
Surgery
Otolaryngology, Plastic Surgery within the Head & Neck
Otolaryngology, Pediatric Otolaryngology
Audiologist
Speech-Language Pathologist,
Physician Assistant
Nurse Practitioner
Otolaryngology
Primary
All Addresses
MAILING
FILE NUMBER 54701
LOS ANGELES, CA, 900744701