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NPI Profile for ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION in SAN LUIS OBISPO, CA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Otolaryngology |
207YP0228X | 04 | Physician/Otolaryngology | |
Facial Plastic Surgery |
207YS0123X | 04 | Physician/Otolaryngology | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology | |
Sleep Medicine |
207YS0012X | 04 | Physician/Otolaryngology |
| NPI Number | 1750852810 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/16/2018 | |
| Last updated | 12/17/2018 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION
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ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION