| NPI | 1174899686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTANAM SRINIVASAN Clinical Director 424-781-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA C53502) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |