| NPI | 1306139910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE WAISMANN Manager 310-205-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: CA 32166) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |