| NPI | 1376043513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE KAIPAT Office Manager 818-588-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A108651) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-03-03 |