NPI | 1083911523 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTIS WOODWARD CEO 323-466-0263 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A40488) |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: CA A40488) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2011-02-18 |