NPI | 1124301973 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADYS HAPPER Owner 310-888-2877 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA NP12236) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |