| NPI | 1063809812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCDONALD Admin Manager 949-783-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A80383) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |