| NPI | 1265983282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G SALAZAR President/Owner 559-432-6807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2019-03-13 |