Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ear Nose Throat MD Inc

Organization Otolaryngology Physician · NPI 1972166452

Ear Nose Throat MD Inc is an Otolaryngology Physician in Tustin, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2552 Walnut Ave Ste 130
Tustin, CA 92780-6970
Phone: (714) 847-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1972166452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Braganza — Credentialing Manager · (562) 341-4786
NPI enumeratedApril 19, 2019
Last updated in NPPESApril 19, 2019
Mailing address2552 Walnut Ave Ste 130, Tustin, CA 92780-6970

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