| NPI | 1295760916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Owner 818-880-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-06-11 |