| NPI | 1295009322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY RAGSDALE CEO, Trustee 949-999-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CA G35503) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G53385) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |