| NPI | 1104221332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL CHARLES WADE President 562-407-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A125312) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A125312) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |