| NPI | 1477004513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A RESASCO Owner 949-281-9086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |