| NPI | 1235470634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SORENSEN Medical Director 559-713-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A124459) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2013-06-02 |