| NPI | 1134461890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUJ GUPTA Owner 760-285-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA A85939) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2014-10-03 |