| NPI | 1245646959 |
|---|---|
| Doing Business As | POWAY SPINE AND PAIN |
| Entity Type | Organization |
| Authorized Contact | RAVI K LAKKARAJU President 858-485-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA C55361) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |