| NPI | 1013268069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STERLING BRADLEY, M.D. CEO, President 310-540-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G82005) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A109016) |
| 207L00000X Anesthesiology (Licence: CA G82005) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A109016) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2020-05-13 |