ENT SURGICAL SPECIALISTS INC. (NPI# 1912371352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912371352 |
| Entity Type | Organization |
| Organization Name | ENT SURGICAL SPECIALISTS INC. |
| Other Organization Name | ENT SURGICAL SPECIALISTS INC. |
| Practice Address |
6424 W Olympic Blvd Los Angeles CA 90048-5347 |
| Practice Telephone | 3107722866 |
| Practice Fax Number | 3104211880 |
| Mailing Telephone | 3107722866 |
| Mailing Fax Number | 3104211880 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | NEDA NAZARIAN (DIRECTOR OF OPERATION) |
| Authorized Official Telephone | 3107722866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
A112498 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ENT SURGICAL SPECIALISTS INC. | Former Legal Business Name - Organization |
| Street Address |
6424 W OLYMPIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
| 1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
| 1710187802 | Theodore Chen | Otolaryngology | 4900 W Sunset Blvd Fl 6, Los Angeles, CA 90027-5814 | 2007-07-18 |
| 1437218575 | Barry Jay Feinberg | Otolaryngology | 12021 Wilshire Blvd Ste 745, Los Angeles, CA 90025-1206 | 2006-12-06 |
| 1023039815 | Hayward Lynn Eubanks | Otolaryngology | 5529 Secrest Dr, Los Angeles, CA 90043-2029 | 2006-07-21 |
| 1790712412 | Jeffrey Dale Rawnsley | Otolaryngology | 924 Westwood Blvd, Suite 515, Los Angeles, CA 90024-2910 | 2006-06-27 |
| 1639591407 | Carlo P. Honrado, M.d., Inc. | Otolaryngology | 2080 Century Park E, 1700, Los Angeles, CA 90067-2001 | 2014-01-14 |
| 1922236868 | Lucia Silu Olarte | Otolaryngology | 2080 Century Park E, Suite 1700, Los Angeles, CA 90067-2001 | 2009-06-30 |
| 1669622122 | Kimberly J Lee | Otolaryngology | 200 Medical Plaza, 550, Los Angeles, CA 90025 | 2008-09-22 |
| 1114191194 | Amit Kochhar | Otolaryngology | 1520 San Pablo St, Suite 4600, Los Angeles, CA 90033-5310 | 2008-04-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.