| NPI | 1144526773 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA CENTER FOR PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | BRYAN X LEE President 909-593-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A91137) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A91137) |
| 207R00000X Internal Medicine (Licence: CA A96828) | |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2023-02-16 |