| NPI | 1164708582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVIN MALLAVARAM President 925-469-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A104871) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2013-12-11 |