| NPI | 1326598962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GERMANOVICH President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A12144) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA 20A12144) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |