| NPI | 1265813125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MCDONALD Owner 949-783-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A80383) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |