| NPI | 1104081777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BROWN President Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C42562) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA C42562) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-10-21 |