| NPI | 1265869820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S. POWERS President 714-903-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G15640) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G15640) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G15640) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G15640) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |