| NPI | 1073275566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SU CEO 702-789-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-10-25 |