| NPI | 1023665213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDOUARD E RIVERA CEO 949-723-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-07-06 |