| NPI | 1215165212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JAVIER KING Owner 949-916-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A80044) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A80044) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-03-07 |