OrganizationActive
Hayward L Eubanks M D a Medical Corporation
NPI 1972650513 · Otolaryngology/Facial Plastic Surgery Physician · Hawthorne, CA
Provider details
- NPI number
- 1972650513
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brittany Eubanks, Practice Manager, Access Manager(310) 908-1842
- License
- G54388 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4477 W 118th Street
Suite 205
Hawthorne, CA 90250-2255
Phone: (310) 679-0676
Fax: (310) 679-0087
Approximate (ZIP-level) locationGet directions
Mailing address
5529 Secrest Drive
Los Angeles, CA 90043-2029
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2024-10-22
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.