| NPI | 1316404262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYVAN D HADDADAN President & Chairman 916-953-7571 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2021-02-22 |