| NPI | 1427509033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM MORADIAN Owner/President 818-913-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA 118692) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 118692) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A118692) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-03-24 |