NPI | 1154378362 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KELLY Direct Owner 818-888-7815 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A69217) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A69217) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2017-07-19 |