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

Skull Base Surgery Institute Professional Corporation

Organization Otolaryngology Physician · NPI 1417780420

Skull Base Surgery Institute Professional Corporation is an Otolaryngology Physician in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2080 Century Park E Ste 1700
Los Angeles, CA 90067-2020
Phone: (424) 355-0175
Fax: (213) 672-5093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1417780420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ghiam — President · (424) 355-0175
NPI enumeratedAugust 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2080 Century Park E Ste 1700, Los Angeles, CA 90067-2020

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