| NPI | 1003020074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA COFFMAN Biller 714-547-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G40059) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-06-12 |