| NPI | 1013959642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B GLASER President/CEO 818-744-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A64352) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-08-29 |