| NPI | 1295804680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KENNEDY Owner 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G62033) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |