| NPI | 1245931617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ MICHAEL Owner 323-999-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| 111NX0800X Chiropractor, Orthopedic | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |