| NPI | 1194378471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN SHAMTOB Medical Director/President 818-307-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |