| NPI | 1124569009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL SATYJIT LALA President / Owner 818-348-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |