| NPI | 1164449880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL HULLANDER Partner 805-563-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G68228) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A6316) |
| 207L00000X Anesthesiology (Licence: CA 20A6316) | |
| 207L00000X Anesthesiology (Licence: CA G68228) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-03-17 |