| NPI | 1073860896 |
|---|---|
| Doing Business As | THE HEAD, NECK BACK PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | LAYN FORD MILLER CEO 714-965-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: CA DC022835) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA DC022835) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |