Westside Head & Neck

NPI 1508174871 - Otolaryngology - 207Y00000X

NPI Details
NPI 1508174871
Enumeration Date 09/20/2010
Last Updated 07/23/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MICHELLE ANN MICHELLE
Position GENERAL PARTNER
Phone (310) 204-4111
Fax (310) 204-4474
Practice Location
3831 HUGHES AVE
SUITE 504
CULVER CITY CA, 90232-2751, US
Phone (310) 204-4111
Fax (310) 204-4474
Business Location
3831 HUGHES AVE
SUITE 504
CULVER CITY CA, 90232-2751, US
Phone (310) 204-4111
Fax (310) 204-4474
Toxanomy
Taxonomy Code 207Y00000X
License State
License Number
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According to our database, Westside Head & Neck NPI is 1508174871, taxonomy code is 207Y00000X Westside Head & Neck physically located at 3831 Hughes Ave, Culver City CA, 90232-2751. NPI Number 1033115704 has the healthcare provider type.

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1508174871 NPI number is provided on an as is basis without warranty of any kind. 1508174871 is maintained by the National Plan & Provider Enumeration System. The contents of Westside Head & Neck are for informational purposes only.