| NPI | 1255528857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R EZEKIEL President 310-362-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA G72866) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-06-09 |