| NPI | 1407619703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RIEDEL Director Of Nursing 818-348-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-04-18 |