NPI | 1043340722 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA M VLACHOS Physician 310-860-3409 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA AO68888) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2007-10-02 |