| NPI | 1275879017 |
|---|---|
| Doing Business As | PACIFIC PAIN TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMMY JOLENE PENHOLLOW Medical Director 415-567-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |