| NPI | 1275841959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA DUBINSKY Billing Manager 310-449-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A63742) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |