| NPI | 1457533507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAIN TONG Treasurer 714-556-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G29698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A9893) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-04-01 |