| NPI | 1174800452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARTIK ANANTH President 310-437-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology Pain Medicine |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2024-03-22 |