| NPI | 1477952117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM AHDAB President 323-217-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A126658) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A126658) |
| 207R00000X Internal Medicine (Licence: CA A126658) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A126658) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2018-07-26 |