| NPI | 1083987051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ELFENBAUM Owner 858-514-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A63369) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A63369) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2017-03-27 |