| NPI | 1417918533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY HARRISON Direct Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A32912) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: CA A32912) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-01-06 |