| NPI | 1447893813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUODONG LI President 310-279-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-05-19 |