| NPI | 1235575853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CHARLES Officier 714-847-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A46552) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-12-03 |