| Organization Name: | TRIVALLEY EAR NOSE THROAT |
| NPI Number: | 1063881605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA LEHMAN (CREDENTIALING) |
| Mailing Address: | 25150 Hancock Ave Ste 204 Murrieta |
| State: | CA US |
| Postal Code: | 925625989 |
| Phone Number: | 9516988222 |
| Fax Number: | 9516987411 |
| NPI Enumeration Date: | 09/24/2015 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | G46300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |