| NPI | 1154630044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LONG TRAN Medical Director/President 707-546-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2015-11-04 |