| NPI | 1316714363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROSHAN Medical Director 310-341-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |