| NPI | 1043754351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PHILIP LODER Medical Director 310-448-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A91446) |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2021-02-26 |