| NPI | 1154658284 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA INTERVENTIONAL PAIN MANAGEMENT GROUP |
| Entity Type | Organization |
| Authorized Contact | RANDY ROSEN President 951-699-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |