| NPI | 1124004114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE A CLIFFORD Chief Operating Officer 626-294-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A53113) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-03-13 |