East Los Angeles Ent Medical Center

NPI 1386750198 - Otolaryngology - 207YX0905X

NPI Details
NPI 1386750198
Enumeration Date 08/22/2006
Last Updated 10/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHOUNAN SHOUNAN
Position PRESIDENT
Phone (626) 284-2000
Fax (626) 284-4300
Practice Location
416 W LAS TUNAS DR
#105
SAN GABRIEL CA, 91776-1236, US
Phone (626) 284-2000
Fax (626) 284-4300
Business Location
416 W LAS TUNAS DR
#105
SAN GABRIEL CA, 91776-1236, US
Phone (626) 284-2000
Fax (626) 284-4300
Toxanomy
Taxonomy Code 207YX0905X
License State California
License Number A83484
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According to our database, East Los Angeles Ent Medical Center NPI is 1386750198, taxonomy code is 207YX0905X and license number is A83484, license state is located at California. East Los Angeles Ent Medical Center physically located at 416 W Las Tunas Dr, San Gabriel CA, 91776-1236. NPI Number 1033115704 has the healthcare provider type.

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1386750198 NPI number is provided on an as is basis without warranty of any kind. 1386750198 is maintained by the National Plan & Provider Enumeration System. The contents of East Los Angeles Ent Medical Center are for informational purposes only.