| NPI | 1457647117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY VERDOLIN President / Owner 619-213-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A92149) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A92149) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A92149) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-09-16 |