| NPI | 1275168676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SARIAN Practice Administrator 818-348-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |