| NPI | 1154412963 | 
|---|---|
| Doing Business As | OMNI PAIN CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | AUGUSTA UAYEMEN IKHISEMOJIE President 310-276-1688 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A67133) | 
| Additional Taxonomies | 171100000X Acupuncturist | 
| 207L00000X Anesthesiology (Licence: CA A67133) | |
| Enumeration Date | 2006-09-27 | 
| Last Update Date | 2018-09-19 |