| NPI | 1053659995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DANIEL CHONG Owner/ President 808-392-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A103353) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |