| NPI | 1275059727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SARIAN C.O.O. 818-348-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2024-01-08 |