| NPI | 1295271179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STERLING BRADLEY CEO 310-540-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CA G82005) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |