| NPI | 1477148047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON ALEXANDER VARGA CEO 626-696-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2025-03-14 |