Palisades Ear Nose Throat and Facial Plastic Specialists a Medic.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC.

Practice address

984 Monument St Ste 203
Pacific Palisades, CA 90272-3859

Phone

(310) 459-0800

NPI assigned

Sep 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie Chantal Trinque Courchesne, MDNPI 1962552810

Title

Owner

Phone

(310) 459-0800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Chantal Sonia Trinque Courchesne, MD

  • Otolaryngology Physician
  • Pacific Palisades, CA
  • NPI 1962552810
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1295920825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 203",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-459-0800",
            "fax_number": "310-459-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MONUMENT ST STE 203",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723859",
            "telephone_number": "310-459-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Aviation Blvd Ste K",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902544016",
            "country_code": "US",
            "telephone_number": "310-459-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALISADES EAR NOSE THROAT AND FACIAL PLASTIC SPECIALISTS A MEDIC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "TRINQUE COURCHESNE",
        "authorized_official_first_name": "MARIE CHANTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-459-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Deanne Oneill, PHD RN
• Options Counseling Center a Psychological Corporation
• Catherine Owens, MA
• Pacific Palisades Medical Group Inc.
• Palisades Compounding Pharmacy Inc
• Palisades Pediatrics
• Karen BJ Palkovits-Stauber, DC
• Stacie Palmer, MFT
• Patrick C Park, DDS
• Pathways to Nutrition, Inc.

• Otolaryngology Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.