Ear Nose And Throat Medical Group

LBN: Ear Nose And Throat Medical Group
Ear Nose And Throat Medical Group is an health care organization with primary practice located at 805 Veterans Blvd Ste 115 , Redwood City CA 94063-1755. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Ear Nose And Throat Medical Group can be contacted via phone (650) 369-1619, or through Ellison, David via phone (650) 344-6896.

Contact Information

Primary practice address
805 Veterans Blvd Ste 115 Redwood City CA 94063-1755
Phone: (650) 369-1619
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellison, David Doctor of Medicine (MD)
Phone: (650) 344-6896

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1770700502
LBN Legal business name Ear Nose And Throat Medical Group
DBA Doing business as
Authorized official Ellison, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770700502 NPPES
California MEDICAID ZZZ80557Z

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