| NPI | 1356543128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BOBERICK Medical Billing Specialist 916-549-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-03-17 |