| NPI | 1235392457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES FARNUM Administrator 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |