| NPI | 1023599529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN KULUBYA Owner 714-234-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |