| NPI | 1184890816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW FUCHS President 818-570-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G63731) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: CA G63731) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2011-06-20 |